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Individual

DR. IAN M FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
820 E TERRA COTTA AVE, #129 136 OPEN ADVANCED MRI OF CRYSTAL LAKE LLC, CRYSTAL LAKE, IL 60014
(815) 444-1330
(815) 444-1249
Mailing address
1126 S 70TH ST, #N500, MILWAUKEE, WI 53214
(414) 455-4780
(414) 475-2936

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
IL

Other

Enumeration date
07/24/2006
Last updated
02/25/2008
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