Individual
MR. MARK THOMAS FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
808 7TH AVE N APT 4, PRINCETON, MN 55371-1241
(320) 760-2264
Mailing address
105 6TH AVE S, PRINCETON, MN 55371-1819
(763) 308-0006
(763) 631-0339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302700
MN
Other
Enumeration date
04/24/2008
Last updated
05/10/2016
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