Provider Demographics
NPI:1922182849
Name:FISCHER, HARRY WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:WILLIAM
Last Name:FISCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17752 CHARIOT RD
Mailing Address - Street 2:
Mailing Address - City:ELKADER
Mailing Address - State:IA
Mailing Address - Zip Code:52043-8136
Mailing Address - Country:US
Mailing Address - Phone:563-245-3268
Mailing Address - Fax:
Practice Address - Street 1:17752 CHARIOT RD
Practice Address - Street 2:
Practice Address - City:ELKADER
Practice Address - State:IA
Practice Address - Zip Code:52043-8136
Practice Address - Country:US
Practice Address - Phone:563-245-3268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1051812084P0804X
IA191832084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO105181OtherLICENSE NUMBER
MO234925601OtherBNDD
MO234925601OtherBNDD
MO105181OtherLICENSE NUMBER