Individual
HENRY FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 HOULTON RD, DANFORTH, ME 04424-0044
(207) 448-2347
(207) 448-2313
Mailing address
236 BACK RIDGE RD, LITTLETON, ME 04730
(207) 532-6777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
009190
ME
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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