Individual
JASON FISKE-BAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
158 MAIN ST, PENNSBURG, PA 18073-1312
(215) 679-5393
(215) 679-9674
Mailing address
158 MAIN ST, PENNSBURG, PA 18073-1312
(215) 679-5393
(215) 679-9674
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006468
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031278010004
—
PA
Enumeration date
05/16/2013
Last updated
10/01/2019
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