Individual
KRISTINA FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7727 PORTLAND AVE, RICHFIELD, MN 55423-4320
(612) 861-1691
Mailing address
3317 FREMONT AVE S APT 4, MINNEAPOLIS, MN 55408-3548
(920) 284-7403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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