Healthcare Provider Details

I. General information

NPI: 1417032061
Provider Name (Legal Business Name): DAVID W FISHER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 E SUPERIOR ST FISHER CHIROPRACTIC CLINIC LTD
DULUTH MN
55802-2217
US

IV. Provider business mailing address

1118 E SUPERIOR ST FISHER CHIROPRACTIC CLINIC LTD
DULUTH MN
55802-2217
US

V. Phone/Fax

Practice location:
  • Phone: 218-728-3639
  • Fax: 218-728-2603
Mailing address:
  • Phone: 218-728-3639
  • Fax: 218-728-2603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3155
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDACRB
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: