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Individual

DR. PATRICIA L FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Mailing address
900 DORSET ST, SOUTH BURLINGTON, VT 05403-7502
(802) 864-6309
(802) 860-4324

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04200106644
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010219
VT
01
364345
MVP
VT
01
4661403
FLETCHER ALLEN PREFERRED
VT
01
59784
BLUE CROSS BLUE SHIELD
VT
Enumeration date
12/16/2005
Last updated
07/08/2007
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