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Individual
DR. KEELY ELIZABETH FISCHBACH
Active
Individual
DR. KEELY ELIZABETH FISCHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101273000
VA
207R00000X
Internal Medicine Physician
01088492A
IN
207R00000X
Internal Medicine Physician
036.162510
IL
207R00000X
Internal Medicine Physician
35.134374
OH
207R00000X
Internal Medicine Physician
4301500649
MI
207R00000X
Internal Medicine Physician
ME117183
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011168400
—
FL
01
—
P01366911
RAILROAD MEDICARE
FL
Enumeration date
03/26/2011
Last updated
07/20/2023
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