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Individual

DR. ROBERT N. FISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
(262) 329-1001
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
(262) 329-1001

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2010-00086
NC
207L00000X
Anesthesiology Physician
Primary
55659-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942292610
WI
Enumeration date
08/18/2005
Last updated
11/18/2021
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