SearchIllinoisSurgical Physician Assistant

Gary Fisk, PA

NPI 1891708491 · on the registry since 2006

Practice

Address
5405 N Knoxville Ave
Peoria, IL 61614
Phone
(309) 691-4410
Organisation at this address
Cardiosom, Llc
Osf Healthcare System
Heartcare Midwest , Ltd
Osf Heart & Vascular Institute
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois