Individual
AMY FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
15199 75TH ST NE, OTSEGO, MN 55330-6878
(612) 207-5424
Mailing address
15199 75TH ST NE, OTSEGO, MN 55330-6878
(612) 207-5424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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