Individual
MATTHEW JOHN COWAN FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
(651) 254-0601
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15405
MN
Other
Enumeration date
11/02/2023
Last updated
09/17/2025
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