Doctor Name: | MR. OLAF LINCOLN FISHER |
NPI Number: | 1407158322 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A28594 |
Business Practice Address: | 5305 Old Stump Dr Nw Gig Harbor, WA - 983327803 |
Business Phone Number: | 2538583932 |
Business Fax Number: | 2538582769 |
Mailing Address: | 5305 Old Stump Dr Nw, GIG HARBOR |
State: | WA |
Postal Code: | 983327803 |
Phone Number: | 2538583932 |
Fax Number: | 2538582769 |
NPI Enumeration Date: | 11/29/2010 |
NPI Last Update Date: | 11/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A28594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |