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Individual

BENJAMIN WALKER FISCHER-VALUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1310 CHURCHILL RD, SPRINGFIELD, IL 62702-2200
(303) 669-1985
Mailing address
1310 CHURCHILL RD, SPRINGFIELD, IL 62702-2200

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036154868
IL
2085R0001X
Radiation Oncology Physician
80454
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80454
MEDICAL LICENSE
GA
Enumeration date
04/02/2013
Last updated
05/14/2026
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