Individual
MR. MICHAEL LAWRENCE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4355 HICKORY BLVD, GRANITE FALLS, NC 28645-1992
(828) 757-5060
(828) 757-5064
Mailing address
4355 HICKORY BLVD, GRANITE FALLS, NC 28645-1992
(828) 757-5060
(828) 757-5064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9800047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080164417
RAILROAD MEDICARE
—
01
—
1125F
BCBS
NC
05
—
891125F
—
NC
Enumeration date
06/23/2005
Last updated
10/14/2011
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