Individual
LARISSA LYNN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Mailing address
4916 S BOONE AIRE DR, TRAVERSE CITY, MI 49684-9507
(231) 350-8013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5601011609
MI
Other
Enumeration date
03/09/2023
Last updated
03/14/2023
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