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Individual
TIMOTHY FISHER
Active
Individual
TIMOTHY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
113
WY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121842500
—
WY
Enumeration date
10/13/2006
Last updated
11/14/2018
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