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Individual

ELSA N FISK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8691 W 86TH STREET, INDIANAOPLIS, IN 46278
(317) 313-1290
Mailing address
8691 W 86TH STREET, INDIANAOPLIS, IN 46278
(317) 313-1290

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01025344
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100064400
IN
Enumeration date
09/01/2005
Last updated
05/06/2025
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