# DR. MICHAEL ANTHONY FISHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720271596
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3832 | OH | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 09/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000541536 | ANTHEM BC BS | OH |
| 01 | — | 11804074 | CAQH | OH |
| 05 | — | 2956225 | — | OH |