Individual
KENNETH J FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-4171
(701) 234-4024
Mailing address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-4171
(701) 234-4024
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
8721
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11512
—
ND
05
—
844638500
—
MN
Enumeration date
07/18/2006
Last updated
10/30/2008
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