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Dr. Jack Mark Fishaut, MD
Pediatrics Physician in Friday Harbor, Washington
NPI 1891779195

Jack Mark Fishaut is a Pediatrics Physician based in Friday Harbor, WA. Jack Mark Fishaut practices in Friday Harbor, WA and has the professional credentials of MD. The NPI Number for Jack Mark Fishaut is 1891779195 and holds a License No. MD00040965 (Washington).

The current practice location address for Jack Mark Fishaut is 235 Blair Ave, Friday Harbor, WA and can be reached out via phone at 360-370-5971 and via fax at 360-370-5980.

Location: 235 Blair Ave, Friday Harbor, WA, 98250-0796
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891779195
Provider Name
Jack Mark Fishaut
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
235 Blair Ave, Friday Harbor, WA, 98250-0796
Phone Number
360-370-5971
Fax Number
360-370-5980
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
361929500 01 PARK NATL L & L
532300004 01 GROUP HEALTH
4952FI 01 REGENCE BLUE SHIELD
912109329 01 UNIFORM
912109329 01 CHPW
912109329 01 PREMERA BLUE CROSS
LABOR AND INDUSTRIES 01 0182789
8387367 01 DSHS MEDICAID
912109329 01 FIRST CHOICE
8930937 01 CRIME VICTIMS
institution
Provider Business Practice Location Address Details
Address
235 Blair Ave
City
Friday Harbor
State
Washington
Zip
98250-0796
Phone Number
360-370-5971
Fax Number
360-370-5980
person
Provider Business Mailing Address Details
Address
235 Blair Ave
City
Friday Harbor
State
Washington
Zip
98250-0796
Phone Number
360-370-5971
Fax Number
360-370-5980
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
MD00040965 (Washington)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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