Individual
MICHAEL SHAUN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1335 REDWOOD DR, SAINT CLAIR, MO 63077-2018
(636) 358-3019
Mailing address
1335 REDWOOD DR, SAINT CLAIR, MO 63077-2018
(636) 358-3019
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
320900000X
MO
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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