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Individual
MARISSA FISCHER
Active
Individual
MARISSA FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008962
MI
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315203825
PHARMACY (CS-2)
MI
01
—
5601008962
LICENSE NUMBER
MI
Enumeration date
01/17/2019
Last updated
11/25/2022
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