Individual
JEFFREY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8545 COMMON RD, # 200, WARREN, MI 48093-6772
(586) 751-0732
(586) 751-3822
Mailing address
8545 COMMON RD, # 200, WARREN, MI 48093-6772
(586) 751-0732
(586) 751-3822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085699
MI
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301085699
MI
Other
Enumeration date
05/14/2007
Last updated
12/07/2017
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