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Individual

CHRISTIAN MATTHEW FISHWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1114 CHARLEVOIX AVE, PETOSKEY, MI 49770-9701
(231) 489-8151
Mailing address
2373 RIDGE RD, WHITE LAKE, MI 48383-1746
(248) 894-1694

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
11/06/2023
Last updated
01/02/2025
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