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Individual

KEITH J FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8159
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0117866
MEDICA #
ND
05
11866
ND
05
236723800
ND
01
25057
NDBS #
ND
01
38625
LHS #
ND
01
6606914
MEDICA #
ND
01
926S4FI
MNBS #
ND
01
939336
AMERICA'S PPO/ARAZ #
ND
01
DA9011021844
PREFERRED ONE #
ND
01
HP29759
HEALTHPARTNERS #
ND
Enumeration date
07/11/2006
Last updated
02/28/2025
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