Individual
MR. ALBERT FISK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
(305) 292-8884
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
(305) 292-8884
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
12/27/2005
Last updated
01/04/2019
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