Individual
DR. DENISE FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
800 N LOGAN AVE STE 104, DANVILLE, IL 61832-3741
(217) 431-4280
Mailing address
800 N LOGAN AVE STE 104, DANVILLE, IL 61832-3741
(217) 431-4280
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004411
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004411
—
IL
Enumeration date
01/25/2007
Last updated
01/29/2010
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