Individual
MARY MARGARET FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
2204 IRONWOOD PL, SUITE A, COEUR D ALENE, ID 83814-2662
(208) 765-0597
(208) 765-0598
Mailing address
2204 IRONWOOD PL, SUITE A, COEUR D ALENE, ID 83814-2662
(208) 765-0597
(208) 765-0598
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OI60177376
WA
224P00000X
Prosthetist
PS60177307
WA
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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