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Individual

JOSHUA JACOB FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(218) 846-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL15720
ND

Other

Enumeration date
08/06/2019
Last updated
12/09/2022
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