Individual
STEVEN G FISKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 BARCLAY AVE, PINE RIVER, MN 56474-5139
(218) 587-4416
(218) 587-2677
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32622
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470705200
—
MN
Enumeration date
03/10/2006
Last updated
01/07/2016
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