person
Mr. Gary Fisk, PA
Surgical Physician Assistant in Peoria, Illinois
NPI 1891708491

Gary Fisk is a Surgical Physician Assistant based in Peoria, IL and is specialized in Surgical. Gary Fisk practices in Peoria, IL and has the professional credentials of PA. The NPI Number for Gary Fisk is 1891708491 and holds a License No. 085000405 (Illinois).

The current practice location address for Gary Fisk is 5405 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-691-4410.

Location: 5405 N Knoxville Ave, Peoria, IL, 61614-5016
person
Provider Profile Details
NPI Number
1891708491
Provider Name
Gary Fisk
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5405 N Knoxville Ave, Peoria, IL, 61614-5016
Phone Number
309-691-4410
Fax Number
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5405 N Knoxville Ave
City
State
Zip
61614-5016
Phone Number
309-691-4410
Fax Number
person
Provider Business Mailing Address Details
Address
5405 N Knoxville Ave
City
State
Zip
61614-5016
Phone Number
309-691-4410
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085000405 (Illinois)
Definition
Definition to come...
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