Individual provider · Type 1 NPI

Matthew John Cowan Fischer

Physician Assistant · Lake Elmo, MN

NPI number 1407629306 Active

Practice location

8550 Hudson Blvd N
Lake Elmo, MN 55042-5500

Fax (651) 254-0601

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15405 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407629306

Matthew John Cowan Fischer's National Provider Identifier is 1407629306, issued on Nov 2, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lake Elmo, MN. The record was last updated on Sep 17, 2025.