Joshua Jacob Fisher, | |
1245 Washington Ave, Detroit Lakes, MN 56501-3905 | |
(218) 846-2000 | |
Not Available |
Full Name | Joshua Jacob Fisher |
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Gender | Male |
Speciality | Family Medicine |
Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700431756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | RL15720 (North Dakota) | Primary |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
Mailing Address | Practice Location Address |
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Joshua Jacob Fisher, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Joshua Jacob Fisher, 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000 |
Dr. Gaurav Suresh Mehta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Avenue, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Benita Behm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300 | |
Julie A Pazdernik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Robert A Koshnick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Tricia Rae Brein, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Abigail K Ring, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Scott Allen Lawrence, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1361 Wenner Rd, Detroit Lakes, MN 56501 Phone: 218-396-6500 Fax: 218-396-6504 |