Individual
MR. JOHN MERRITT FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
416 OAKWOOD CIR, COAL VALLEY, IL 61240-9423
(309) 732-6991
Mailing address
416 OAKWOOD CIR, COAL VALLEY, IL 61240-9423
(309) 732-6991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11230148
IA
363LF0000X
Family Nurse Practitioner
F11230148
IL
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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