DR. Jack Mark Fishaut, MD

NPI #1891779195 in Friday Harbor, Washington

Provider Information

NPI Number: 1891779195
Entity Type: Individual
Name: DR. Jack Mark Fishaut, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Dec 1, 2005
Last Updated: Mar 7, 2023

Practice Location

Address: 235 BLAIR AVE
City: Friday Harbor
State: Washington
ZIP Code: 98250-0796
Phone: (360) 370-5971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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