Fisher, Mason Gordon

Fisher, Mason Gordon is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Fisher, Mason Gordon can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 57 . 007362 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 55044 Wisconsin
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 55044 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 55044 Wisconsin

Profile Details

NPI number 1245452549
LBN Legal business name Fisher, Mason Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jun 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245452549 NPPES
Wisconsin MEDICAID 1245452549

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