Provider Demographics
NPI:1134564958
Name:FISCHER, MEGAN EILEEN (MD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:EILEEN
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:EILEEN
Other - Last Name:AHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6545 FRANCE AVE S #400
Mailing Address - Street 2:METROPOLITAN PEDIATRIC SPECIALISTS
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-920-9191
Mailing Address - Fax:
Practice Address - Street 1:6545 FRANCE AVENUE S #400
Practice Address - Street 2:METROPOLITAN PEDIATRIC SPECIALISTS
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-920-9191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN60206208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1134564958Medicaid