Individual
ROBERT M FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12303 DE PAUL DR, RADIOLOGY DEPT, BRIDGETON, MO 63044-2512
(314) 770-9393
(314) 770-9997
Mailing address
PO BOX 1127, MARYLAND HEIGHTS, MO 63043-0127
(314) 770-9393
(314) 770-9997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
149681
NC
2085R0202X
Diagnostic Radiology Physician
036169059
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2014006480
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013167600
—
MO
Enumeration date
09/19/2008
Last updated
08/14/2025
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