Individual
ALFRED J FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE ST SE PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
(612) 626-6777
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE MMC 491, MINNEAPOLIS, MN 55455
(612) 626-6777
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
18809
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052088
—
MT
01
—
050401
FAIRVIEW
MN
05
—
0990382
—
IA
01
—
1010277
PREFERRED ONE
MN
01
—
101070
UCARE
MN
01
—
2T277FI
BCBS
MN
01
—
31-22593
MEDICA-CHOICE
MN
01
—
3174530
MEDICA-PRIMARY
MN
01
—
768114
ARAZ
—
01
—
HP13287
HEALTH PARTNERS
MN
Enumeration date
09/20/2006
Last updated
07/08/2007
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