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Individual

DR. MASON GORDON FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
55044
WI
208600000X
Surgery Physician
57 . 007362
OH
2086S0102X
Surgical Critical Care Physician
Primary
55044
WI
2086S0127X
Trauma Surgery Physician
55044
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245452549
WI
Enumeration date
05/03/2007
Last updated
03/26/2026
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