# MICHAEL FISHMAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael Fishman MD PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912744210
- **Authorized official:** DENNIS P CREEDON BSN (MANAGER)
- **Authorized official phone:** (717) 273-6706

## Contact information

- **Practice address:** 755 NORMAN DR, LEBANON, PA 17042-7497
- **Practice address phone:** (717) 273-6706
- **Practice address fax:** (717) 273-6706
- **Mailing address:** 755 NORMAN DR, LEBANON, PA 17042-7497
- **Mailing address phone:** (717) 273-6706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2024
- **Last updated:** 07/12/2024