Individual
ALFRED J FISH
Active
Individual
ALFRED J FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
18809
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052088
—
MT
01
—
050401
FAIRVIEW
MN
05
—
0990382
—
IA
01
—
1010277
PREFERRED ONE
MN
01
—
101070
UCARE
MN
01
—
2T277FI
BCBS
MN
01
—
31-22593
MEDICA-CHOICE
MN
01
—
3174530
MEDICA-PRIMARY
MN
01
—
768114
ARAZ
—
01
—
HP13287
HEALTH PARTNERS
MN
Enumeration date
09/20/2006
Last updated
07/08/2007
Update your record
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