Individual
JEREMY W FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1605 NW PROFESSIONAL PLZ, COLUMBUS, OH 43220-3866
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-1496
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003401
OH
Other
Enumeration date
05/16/2012
Last updated
10/06/2025
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