Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01084797A | IN |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 01084797A | IN |
NPI | 1538480082 |
---|---|
Provider Name | Dr. Erica Elizabeth Fisk |
First Address | Indianapolis, IN 46278-1381 |
Second Address | Fishers, IN 46038-2617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2010 |
Last Update Date | 01/04/2021 |