Healthcare Provider Details

I. General information

NPI: 1295672558
Provider Name (Legal Business Name): QUINN FISCHER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 W CENTRAL ENTRANCE
DULUTH MN
55811-5477
US

IV. Provider business mailing address

4690 SAND LAKE RD
MOOSE LAKE MN
55767-9217
US

V. Phone/Fax

Practice location:
  • Phone: 218-206-7775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: