Individual
DARYL L FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5688
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
41978
WI
2080P0206X
Pediatric Gastroenterology Physician
Primary
41978
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43497400
—
WI
Enumeration date
09/25/2006
Last updated
02/08/2023
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