NPI 1093003212

Jacob Fish, MD

Practitioner Pediatrics Physician Fargo, ND

Practice location

Address: 2701 13th Ave S, Fargo, ND 58103-3602
Phone: (701) 234-3620

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 13230 (ND)

Other Pediatrics providers in North Dakota →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1093003212
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2011
Record last updated: 23 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.