Individual
MICHAEL J DISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9604 COLDWATER RD STE 103, FORT WAYNE, IN 46825-2096
(260) 387-5820
Mailing address
9604 COLDWATER RD STE 103, FORT WAYNE, IN 46825-2096
(260) 387-5820
(855) 828-7823
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01044624A
IN
207Y00000X
Otolaryngology Physician
35 078705
OH
207YX0901X
Otology & Neurotology Physician
Primary
01044624A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232297
—
OH
05
—
200091970
—
IN
Enumeration date
08/18/2005
Last updated
08/21/2025
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