Individual
ROBERT DAVID FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 SHERMAN ST, SUITE 450, SAINT PAUL, MN 55102-2564
(651) 999-6800
(651) 999-6910
Mailing address
6025 LAKE RD, SUITE 200, WOODBURY, MN 55125-1712
(651) 999-6800
(651) 999-6830
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23519
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294703000
—
MN
01
—
340015756
RR MEDICARE
MN
Enumeration date
10/03/2005
Last updated
09/10/2013
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