Individual
DIANN M FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2330 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-3710
(612) 781-1212
Mailing address
9200 PENN AVE S, BLOOMINGTON, MN 55431-2319
(612) 226-6929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10499
MN
363A00000X
Physician Assistant
PA822
NV
Other
Enumeration date
02/15/2007
Last updated
09/04/2014
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