Dwight Fiske in Tawas City - Physician Assistant
Dwight Fiske - NPI 1669499133
Dwight Fiske is a Physician Assistant in Tawas City, Michigan. Dwight Fiske practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dwight Fiske is 1669499133. The last update date is 2022-07-21.
Dwight Fiske's current location address is 902 W 1st St, Tawas City, Michigan. You can contact this provider via phone number 9898208127. The mailing address for Dwight Fiske is 902 W 1st St, Tawas City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwight Fiske |
|---|---|
| Address | 902 W 1st St, Tawas City, Michigan |
| Phone Number | 9898208127 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C, RN, |
NPI Number Detail
| NPI Number | 1669499133 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 902 W 1st St |
|---|---|
| City | Tawas City |
| State | Michigan (MI) |
| Post Code | 487639688 |
| Phone Number | 9898208127 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003088 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 542502590A | GA | -- | |
| 1147225 | GA | AMERIGROUP | |
| 542502590B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dwight Fiske by the Centers for Medicare & Medicaid Services?
The Dwight Fiske has been assigned the NPI (National Provider Identifier) 1669499133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Dwight Fiske's physical address?
The Dwight Fiske is physically located at 902 W 1St St, in the city of Tawas City, MI, with the postal code 487639688.
What is Dwight Fiske's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dwight Fiske's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did the Dwight Fiske receive its 1669499133?
The Dwight Fiske was issued its 1669499133 on 2006-07-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Dwight Fiske, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dwight Fiske, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.