Individual
MICHAEL W FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1124 S PINES RD, SPOKANE VALLEY, WA 99206-5427
(509) 922-1909
(509) 922-6648
Mailing address
1124 S PINES RD, SPOKANE VALLEY, WA 99206-5427
(509) 922-1909
(509) 922-6648
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58694
LABOR & INDUSTRIES
WA
01
—
C992-5
PREMERA BLUE CROSS
WA
Enumeration date
10/11/2006
Last updated
02/04/2008
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