Healthcare Provider Details

I. General information

NPI: 1730248527
Provider Name (Legal Business Name): KAREN EVELYN FISCHER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6545 FRANCE AVE S SUITE 366
EDINA MN
55435-2131
US

IV. Provider business mailing address

18615 32ND AVE N
PLYMOUTH MN
55447-1030
US

V. Phone/Fax

Practice location:
  • Phone: 952-926-3858
  • Fax: 952-926-9046
Mailing address:
  • Phone: 763-449-9143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD11077
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: