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General NPI Number Information
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NPI Number | 1346251303
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Entity Type | Individual
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Provider Name | JEFFREY A FISCHER D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 9226 W BURLEIGH ST
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City | MILWAUKEE
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State | WI
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Zip | 53222-3503
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Country | US
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Telephone | 414-449-3338
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Fax | 414-449-1987
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Provider Business Mailing Address
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Address Line | 9226 W BURLEIGH ST
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City | MILWAUKEE
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State | WI
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Zip | 53222-3503
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Country | US
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Telephone | 414-449-3338
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Fax | 414-449-1987
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 692
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 692-025
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License Number State | WI
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