Individual
MR. JESSE FISCHER
Active
Individual
MR. JESSE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C. PED, BOCPD
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
C51558
MD
224L00000X
Pedorthist
Primary
CPED4080
DE
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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