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Mr. Mark A Fisher, PA-C
Medical Physician Assistant in Fort Wayne, Indiana
NPI 1144215153

Mark A Fisher is a Medical Physician Assistant based in Huntertown, IN and is specialized in Medical. Mark A Fisher practices in Fort Wayne, IN and has the professional credentials of PA-C. The NPI Number for Mark A Fisher is 1144215153 and holds a License No. 10000311A (Indiana).

The current practice location address for Mark A Fisher is 1721 Magnavox Way, Fort Wayne, IN and can be reached out via phone at 260-748-3650 and via fax at 360-748-3651. You can also correspond with Mark A Fisher through the mailing address at PO BOX 670, HUNTERTOWN, IN - 46748-0670 (mailing address contact number: 260-748-3650).

Location: 1721 Magnavox Way, Fort Wayne, IN, 46748-0670
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Provider Profile Details
NPI Number
1144215153
Provider Name
Mark A Fisher
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1721 Magnavox Way, Fort Wayne, IN, 46748-0670
Phone Number
260-748-3650
Fax Number
360-748-3651
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300006102 05 IN
931711 01 IN BCBS
institution
Provider Business Practice Location Address Details
Address
1721 Magnavox Way
City
State
Zip
46804-1537
Phone Number
260-748-3650
Fax Number
360-748-3651
person
Provider Business Mailing Address Details
Address
Po Box 670
City
State
Zip
46748-0670
Phone Number
260-748-3650
Fax Number
260-748-3651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10000311A (Indiana)
Definition
Definition to come...
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