Individual
EVAN P FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 COMMERCE DR STE 260, WOODBURY, MN 55125-9243
(651) 328-6286
(651) 328-6281
Mailing address
700 COMMERCE DR STE 260, WOODBURY, MN 55125-9243
(651) 328-6286
(651) 328-6281
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/31/2020
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