Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 692 | WI |
N | 222Z00000X | Podiatrist | 692 | WI |
Y | 213ES0131X | Foot Surgery | 692-025 | WI |
NPI | 1346251303 |
---|---|
Provider Name | Dr. Jeffrey A Fischer |
First Address | Milwaukee, WI 53222-3503 |
Second Address | Milwaukee, WI 53222-3503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
43218100 | (05) | WI |
U43120 | (02) | WI |