Individual provider · Type 1 NPI

Rennye L. Fiske, PA-C

Surgical Physician Assistant · Edina, MN

NPI number 1699843581 Active

Practice location

6405 France Ave S, Suite W440
Edina, MN 55435-2163

Call (952) 927-7004 Map

Fax (952) 927-5146

Mailing address

3400 W 66th St, Suite 350
Edina, MN 55435-2111

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X9563 (MN)
Surgical Physician Assistant Primary 363AS0400X9563 (MN)
Medical Physician Assistant 363AM0700X9563 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1699843581

Rennye L. Fiske, PA-C's National Provider Identifier is 1699843581, issued on Dec 1, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edina, MN. The record was last updated on Feb 2, 2016.