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Individual
DAVID C FISHER
Active
Individual
DAVID C FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 17710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080141877
MEDICARE RAILROAD
SC
05
—
177105
—
SC
Enumeration date
08/08/2006
Last updated
11/13/2007
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