Individual
DR. JACK FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 W SILVER SPRING DR, MILWAUKEE, WI 53218-2552
(414) 267-2674
(414) 562-8435
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 267-2674
(414) 562-8435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5192
WI
Other
Enumeration date
01/01/2007
Last updated
12/03/2012
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