Individual
SEAN Q. FISK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4 MEDICAL PARK, FAIRHOPE, AL 36532-1872
(251) 928-2401
(251) 928-5099
Mailing address
18521 YACHT CLUB RD, FOLEY, AL 36535-4071
(251) 928-2401
(251) 928-5099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-292
AL
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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