Healthcare Provider Details

I. General information

NPI: 1588245955
Provider Name (Legal Business Name): ALLISON FISCHER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2021
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5403 NORMANDY ST
WESTON WI
54476-2217
US

IV. Provider business mailing address

5403 NORMANDY ST
WESTON WI
54476-2217
US

V. Phone/Fax

Practice location:
  • Phone: 715-241-8100
  • Fax: 715-241-8102
Mailing address:
  • Phone: 715-241-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1330-25
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: