Doctor Name: | DR. DAVID A FISCHER |
NPI Number: | 1184627572 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 20272 |
Business Practice Address: | 8100 Northland Dr Bloomington, MN - 554314800 |
Business Phone Number: | 9528318742 |
Business Fax Number: | 9528311626 |
Mailing Address: | 3800 Park Nicollet Blvd, Credentialing ST LOUIS PARK |
State: | MN |
Postal Code: | 554162527 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 20272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |