Individual
DR. GEOFFREY R FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4068 TOLEDO AVE S, ST LOUIS PARK, MN 55416-2903
(952) 925-1304
Mailing address
4068 TOLEDO AVE S, ST LOUIS PARK, MN 55416-2903
(952) 925-1304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2033
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033
STATE LICENSE NUMBER
MN
Enumeration date
09/02/2006
Last updated
07/08/2007
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