Individual
MARK FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
13 MAIN AVE, WILMINGTON, DE 19804
(203) 962-2960
Mailing address
13 MAIN AVE, WILMINGTON, DE 19804-1828
(203) 962-2960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN644140
PA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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