Individual
MICHAEL R FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2266
(307) 857-5247
(307) 857-5215
Mailing address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2266
(307) 857-5247
(307) 857-5215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
7224A
WY
208000000X
Pediatrics Physician
Primary
7224A
WY
Other
Enumeration date
07/27/2005
Last updated
02/25/2013
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