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1144215153
MARK A FISHER
FORT WAYNE, IN
NPI
1144215153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10000311A)
Enumeration Date
2005-09-15
Last Update Date
2019-02-04
Business Address
Mr. MARK A FISHER PA-C
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804-1537
Phone number: 260-748-3650
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Mailing Address
Mr. MARK A FISHER PA-C
PO BOX 670
HUNTERTOWN, IN 46748-0670
Phone number: 260-748-3650
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