Individual provider · Type 1 NPI

Allyce Katherine Fisk, PA-C

Surgical Physician Assistant · Woodbury, MN

NPI number 1730432709 Active

Practice location

215 Radio Dr Ste 100
Woodbury, MN 55125-5817

Mailing address

215 Radio Dr
Woodbury, MN 55125-5815

Other practice locations

  • 2090 Woodwinds Dr, Woodbury, MN 55125-2522 · (651) 968-5801
  • 2025 E River Pkwy, Minneapolis, MN 55414 · (612) 596-6100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X11228 (MN)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1730432709

Allyce Katherine Fisk, PA-C's National Provider Identifier is 1730432709, issued on Oct 16, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Woodbury, MN. The record was last updated on Feb 15, 2021.