# CAROL M FISCHER DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174704985
- **Authorized official:** KIM MARIE GRALESKI (BILLER/ OFFICE MANAGER)
- **Authorized official phone:** (586) 493-3880

## Contact information

- **Practice address:** 1030 HARRINGTON ST, SUITE 201, MOUNT CLEMENS, MI 48043-2967
- **Practice address phone:** (586) 493-3880
- **Practice address fax:** (586) 493-3883
- **Mailing address:** 1030 HARRINGTON ST, SUITE 201, MOUNT CLEMENS, MI 48043-2967
- **Mailing address phone:** (586) 493-3880
- **Mailing address fax:** (586) 493-3883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 5101015319 | MI | Yes |

## Other

- **Enumeration date:** 11/20/2007
- **Last updated:** 11/19/2008