Organization
FISHER CHIROPRACTIC CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W FISHER DC CCST DACRB (DC OWNER)
(218) 728-3639
Entity
Organization
Contact information
Practice address
1118 E SUPERIOR ST, DULUTH, MN 55802-2217
(218) 728-3639
(218) 728-2603
Mailing address
1118 E SUPERIOR ST, DULUTH, MN 55802-2217
(218) 728-3639
(218) 728-2603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
717
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75004FI
BCBS
MN
Enumeration date
10/25/2006
Last updated
08/22/2020
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