# KEITH J FISCHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487689212
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 8159 | ND | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 02/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0117866 | MEDICA \# | ND |
| 05 | — | 11866 | — | ND |
| 05 | — | 236723800 | — | ND |
| 01 | — | 25057 | NDBS \# | ND |
| 01 | — | 38625 | LHS \# | ND |
| 01 | — | 6606914 | MEDICA \# | ND |
| 01 | — | 926S4FI | MNBS \# | ND |
| 01 | — | 939336 | AMERICA'S PPO/ARAZ \# | ND |
| 01 | — | DA9011021844 | PREFERRED ONE \# | ND |
| 01 | — | HP29759 | HEALTHPARTNERS \# | ND |