Individual
DR. MARK R FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-8900
(414) 955-6285
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4030
WI
103TC0700X
Clinical Psychologist
20043360A
IN
103TC0700X
Clinical Psychologist
Primary
4030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609442607
—
WI
Enumeration date
06/01/2021
Last updated
10/17/2024
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