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Individual
DR. WILLIAM H FISSELL IV
Active
Individual
DR. WILLIAM H FISSELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301077062
MI
207R00000X
Internal Medicine Physician
MD48936
TN
207RN0300X
Nephrology Physician
4301077062
MI
207RN0300X
Nephrology Physician
Primary
MD48936
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4467162
—
MI
Enumeration date
10/19/2006
Last updated
03/25/2022
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