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Contact Information

RENNYE L FISKE, PA-C
6405 FRANCE AVE S
SUITE W440
EDINA, MN55435-2163
 Phone: 952-927-7004
 Fax: 952-927-5146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RENNYE L FISKE · (Female)

NPI # 1699843581
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/01/2006
Last updated 02/02/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9563
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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