Individual
ALBERT FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 CEAPE AVE, OSHKOSH, WI 54901-5227
(920) 426-4597
Mailing address
400 CEAPE AVE, OSHKOSH, WI 54901-5227
(920) 426-4597
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301046143
MI
207Q00000X
Family Medicine Physician
Primary
24373
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437131117
—
MI
Enumeration date
11/17/2005
Last updated
01/14/2010
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