Provider Information for 1164029336
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Dr. JAMES WAYNE FISHER Ph.D., LP
Sex: Male
NPI: 1164029336
Last Updated: 2024-05-28
Certification Date: 2024-05-28
Certification Date: 2024-05-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1164029336 | ||||||||
| Enumeration Date | 2020-10-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7400 METRO BLVD STE 390 EDINA, MN 55439-2358 United States Phone: 612-468-1620 | Fax:953-955-6213 | ||||||||
| Primary Practice Address | 7400 METRO BLVD STE 390 EDINA, MN 55439-2358 United States Phone: 612-468-1620 | Fax:953-955-6213 | ||||||||
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