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Jacqueline Fisher — NPI 1417441965, Minnetonka, MN | NPI Central

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Jacqueline Fisher

NPI 1417441965 · Pediatric Endocrinology Physician · Minnetonka, MN

Provider details

NPI number: 1417441965
Entity type: Individual
Primary specialty: Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
Sex: Female
Sole proprietor: No
License: 4301115527 (MI)

Specialties & taxonomies

Pediatric Endocrinology PhysicianPrimary2080P0205XLicense 76365 (MN)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense 4301115527 (MI)
Allopathic & Osteopathic Physicians

Practice location

6060 Clearwater Dr

Minnetonka, MN 55343-9442

Phone: (651) 220-6064

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

6060 Clearwater Dr

Minnetonka, MN 55343-9442

Additional practice locations (1)

1500 E. Medical Center Drive
Medical Professional Building D3238
Ann Arbor, MI 48109
Phone: (734) 647-1774

Registry dates

Enumerated: 2018-06-19
Last updated: 2024-05-30
Certified: 2024-05-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.