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Individual

BRAD D FISCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1492
SD
225100000X
Physical Therapist
1962
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000061381
BLUE SHIELD PROVIDER NUMB
MT
05
3401905
MT
Enumeration date
02/22/2006
Last updated
12/16/2018
Update your record

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