Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 7516 | SD |
NPI | 1679736755 |
---|---|
Provider Name | Dr. Christopher David Fischer |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Sioux Falls, SD 57105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 08/06/2018 |