Individual
GEORGE LAWRENCE FICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4075 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7059
(888) 632-0545
Mailing address
1107 FRANKLIN ST, WILLIAMSPORT, PA 17701-2312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053990
PA
363A00000X
Physician Assistant
OA002381
PA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/03/2009
Last updated
12/01/2009
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