Individual
DR. DONALD R FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 S SOANGETAHA RD, GALESBURG, IL 61401-7524
(309) 344-0858
Mailing address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 674-7546
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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