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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY FISK, PA

Active

MR. GARY FISK, PA is a Surgical Physician Assistant healthcare provider located in PEORIA, Illinois. NPI 1891708491 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · PEORIA, IL

Registration Details

NPI Number
1891708491
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2006 (19.989440528809 yrs)
Last Updated
Jul 8, 2007
License
085000405 (IL)

Practice Information

Address
5405 N KNOXVILLE AVE
PEORIA, IL, 616145016
Browse IL providers · Browse ZIP 61614
Phone
3096914410
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in PEORIA, IL

Name Credential NPI
ANDREW S REESE PA 1851380570
ROB WIMMER P.A. 1013972512
BENJAMIN M HOLMAN P.A. 1770507246
REBECCA BARRICK 1952476103
ALESIA SVYMBERSKY PA-C 1235273574
MARK D LAUFFER PA 1184927709
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.