Provider Demographics
NPI:1932399805
Name:FISCHER, CHRISTINE LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LEE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14760 W MAYFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-6714
Mailing Address - Country:US
Mailing Address - Phone:262-827-9251
Mailing Address - Fax:
Practice Address - Street 1:6101 W VLIET ST
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-2485
Practice Address - Country:US
Practice Address - Phone:414-475-9035
Practice Address - Fax:414-475-9039
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5002056-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice