| Frederick S Fish, MD | |
|
500 Osborne Rd Ne Ste 330, Fridley, MN 55432-2769 | |
| (763) 571-4000 | |
| (763) 502-2966 |
| Full Name | Frederick S Fish |
|---|---|
| Gender | Male |
| Speciality | Undefined Physician Type (specify) |
| Experience | 46 Years |
| Location | 500 Osborne Rd Ne Ste 330, Fridley, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346281250 | NPI | - | NPPES |
| 394783100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 26385 (Minnesota) | Primary |
| 174400000X | Specialist | 26385 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Skin Care Specialists, Pa | 8921908047 | 17 |
| Entity Name | Associated Skin Care Specialists, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083659569 PECOS PAC ID: 8921908047 Enrollment ID: O20040116000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick S Fish, MD 119 14th St Nw Ste 240, New Brighton, MN 55112-0007 Ph: (763) 571-4000 | Frederick S Fish, MD 500 Osborne Rd Ne Ste 330, Fridley, MN 55432-2769 Ph: (763) 571-4000 |
Dr. Scott Paul Prawer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7205 University Ave Ne, Fridley, MN 55432 Phone: 763-571-4000 | |
Roger H Weenig, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7205 University Ave Ne, Fridley, MN 55432 Phone: 763-571-4000 Fax: 763-571-4000 | |
Dr. Bart Theodore Endrizzi, M.D/PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 Phone: 763-571-4000 |