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Individual

DR. MICHAEL A. FISHBAUGH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
570 KREMER HOYING RD., SUITE F, ST. HENRY, OH 45883-0040
(419) 678-8800
(419) 678-4224
Mailing address
570 E KREMER HOYING RD STE J, SAINT HENRY, OH 45883-7600
(419) 678-8800
(419) 678-4224

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4643/T1418
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141871
BC/BS
OH
05
0172343
OH
01
04072
PARAMOUNT HEALTHCARE
OH
01
34184720300
ST HENRY BWC
OH
01
34184720301
DOC BWC
OH
01
360656
NVA
OH
01
410046531
RAILROAD MEDICARE
OH
01
FI266725
CLARITY
OH
Enumeration date
07/13/2005
Last updated
12/12/2023
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