IndividualActive
Allyce Fisk, PA-C
NPI 1730432709 · Surgical Physician Assistant · Woodbury, MN
Provider details
- NPI number
- 1730432709
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 11228 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
215 Radio Dr Ste 100
Woodbury, MN 55125-5817
Phone: (612) 596-6100
Approximate (ZIP-level) locationGet directions
Mailing address
215 Radio Dr
Woodbury, MN 55125-5815
Additional practice locations (2)
- 2025 E River PkwyMinneapolis, MN 55414Phone: (612) 596-6100
- 2090 Woodwinds DrWoodbury, MN 55125-2522Phone: (651) 968-5801Fax: (651) 968-5899
Registry dates
- Enumerated
- 2012-10-16
- Last updated
- 2021-02-15
- Certified
- 2020-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.