Individual
TIMOTHY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4112 LARAMIE ST, CHEYENNE, WY 82001-1969
(307) 514-9901
(307) 275-9880
Mailing address
4112 LARAMIE ST, CHEYENNE, WY 82001-1969
(307) 514-9901
(307) 275-9880
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
113
WY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121842500
—
WY
Enumeration date
10/13/2006
Last updated
11/14/2018
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