Individual
CHRISTIAN M FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-1568
(260) 432-4969
Mailing address
PO BOX 80070, FORT WAYNE, IN 46898-0070
(260) 432-1568
(260) 432-4969
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01075011A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200427760
—
IN
05
—
2990705
—
OH
Enumeration date
08/26/2005
Last updated
09/09/2016
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