Individual
DR. PHILLIP STEVEN FITCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
224 E WASHINGTON ST, MANKATO, MN 56001-3541
(507) 345-3430
(507) 345-4054
Mailing address
224 E WASHINGTON ST, MANKATO, MN 56001-3541
(507) 345-3430
(507) 345-4054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7542
MN
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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