Organization · Type 2 NPI

Fred Fisher

Surgical Physician Assistant · Warrenville, IL

NPI number 1396879581 Active

Practice location

29W505 Cerny Cir
Warrenville, IL 60555-2516

Fax (630) 393-3732

Mailing address

PO Box 5944
Naperville, IL 60567-5944

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

Another provider at this address

About NPI 1396879581

Fred Fisher's National Provider Identifier is 1396879581, issued on Mar 16, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Warrenville, IL. The record was last updated on Aug 22, 2020.