Individual
NICOLE FISCHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1421 PREMIER DR, MANKATO, MN 56001-6076
(507) 385-3964
Mailing address
61683 243RD ST, MADISON LAKE, MN 56063-4454
(651) 387-3276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1831472
MN
Other
Enumeration date
06/25/2018
Last updated
07/17/2020
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