Individual
GARY FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2406-012
WI
225100000X
Physical Therapist
Primary
3504-024
WI
Other
Enumeration date
06/16/2006
Last updated
05/23/2016
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