Individual
DR. CHARLES DAVID FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5749 NICOLLET AVE S, MINNEAPOLIS, MN 55419
(612) 825-0452
Mailing address
5719 PORTLAND AVE S, MINNEAPOLIS, MN 55417
(612) 825-0452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06020
MN
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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