Individual
DR. EDWIN MONETTE FISSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6550 YORK AVE S, SUITE 515, EDINA, MN 55435-2347
(952) 926-7515
(952) 926-8155
Mailing address
6550 YORK AVE S, SUITE 515, EDINA, MN 55435-2347
(952) 926-7515
(952) 926-8155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123
CHIRO SERV
MN
01
—
3D482FI
BLUE CROSS BLUE SHIELD
MN
01
—
841828400
MINNESOTA CARE
MN
Enumeration date
02/08/2007
Last updated
11/13/2007
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