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Individual

JAMES E FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
50819
MN
2086S0120X
Pediatric Surgery Physician
Primary
50819
MN
2086S0120X
Pediatric Surgery Physician
Q9609
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01149707
RAILROAD MEDICARE
MN
Enumeration date
07/03/2007
Last updated
12/05/2018
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