Search › Minnesota › 101YA0400X
Scott Fisk, LADC
NPI 1962207407 · on the registry since 2025 · sole proprietor
Practice
- Address
- 11367 Quince St Nw
Coon Rapids, MN 55448 - Phone
- (763) 614-8381
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota