Individual
DR. THOMAS MAXWELL FISSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5881 W 16TH ST, GREELEY, CO 80634-2910
(970) 313-2740
(970) 313-2744
Mailing address
5881 W 16TH ST, GREELEY, CO 80634-2910
(970) 313-2740
(970) 313-2744
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
18530
ND
207Y00000X
Otolaryngology Physician
Primary
DR.0056808
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2011
Last updated
06/20/2022
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