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Individual

BETH L. FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1344 W ARROWHEAD RD, DULUTH, MN 55811-2218
(218) 728-6211
Mailing address
1344 W ARROWHEAD RD, DULUTH, MN 55811-2218
(218) 728-6211

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2810
MN
152W00000X
Optometrist
3025-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22-01339
MEDICA
MN
01
410045434
RAILROAD MEDICARE
MN
05
5100031300
MN
01
76B36FI
BCBS
MN
Enumeration date
05/31/2005
Last updated
04/26/2012
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