Fisher, Mark

Fisher, Mark is an individual health care provider with primary practice located at 12701 Wayzata Blvd # 249 , Minnetonka MN 55305-1943. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fisher, Mark can be contacted via phone (952) 545-6446.

Contact Information

Primary practice address
12701 Wayzata Blvd # 249 Minnetonka MN 55305-1943
Fax: (952) 525-9353
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1561 Minnesota

Profile Details

NPI number 1568526143
LBN Legal business name Fisher, Mark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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