Healthcare Provider Details

I. General information

NPI: 1508564584
Provider Name (Legal Business Name): FISK SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3923 KEARNEY DR NE
GRAND RAPIDS MI
49525-1820
US

IV. Provider business mailing address

3923 KEARNEY DR NE
GRAND RAPIDS MI
49525-1820
US

V. Phone/Fax

Practice location:
  • Phone: 616-888-1113
  • Fax:
Mailing address:
  • Phone: 616-888-1113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: ERIN WILLIAMS FISK
Title or Position: CEO/FOUNDER
Credential: LMSW
Phone: 616-888-1113