Individual
DR. GARY W. FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PC
Contact information
Practice address
108 W 1ST ST, MONTICELLO, IA 52310-1519
(319) 465-5114
(319) 465-5523
Mailing address
108 W 1ST ST, PO BOX 228, MONTICELLO, IA 52310-1519
(319) 465-5114
(319) 465-5523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01615
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128033
—
IA
Enumeration date
11/16/2005
Last updated
04/10/2008
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