Fish, Frederick S

Fish, Frederick S is an individual health care provider with primary practice located at 500 Osborne Rd Ne Ste 330 , Fridley MN 55432-2769. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Fish, Frederick S can be contacted via phone (763) 571-4000.

Contact Information

Primary practice address
500 Osborne Rd Ne Ste 330 Fridley MN 55432-2769
Phone: (763) 571-4000
Fax: (763) 502-2966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 26385 Minnesota
Other Service Providers / Specialist 174400000X 26385 Minnesota

Profile Details

NPI number 1346281250
LBN Legal business name Fish, Frederick S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 22nd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346281250 NPPES
Minnesota MEDICAID 394783100

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