Individual
DR. MARK DANIEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, 1534 JCP, DEPT OF SURGERY, IOWA CITY, IA 52242-1009
(319) 353-6811
Mailing address
200 HAWKINS DR, 1534 JCP, DEPT OF SURGERY, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP20032170
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD-41973
IA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD449430
PA
Other
Enumeration date
09/25/2006
Last updated
08/11/2014
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