Individual
GRANT FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-8613
Mailing address
6278 W PARK ROW, MARYVILLE, IL 62062-4403
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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