Individual
MR. JOSEPH D FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
4048 DRESSLER RD NW, SUITE 100, CANTON, OH 44718-2784
(330) 479-3333
(330) 479-3334
Mailing address
4048 DRESSLER RD NW, SUITE 100, CANTON, OH 44718-2784
(330) 479-3333
(330) 479-3334
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP04950
OH
363LF0000X
Family Nurse Practitioner
Primary
NP04950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PPG GROUP NPI #
OH
05
—
2378172
—
OH
01
—
2551671
PPG MEDICAID GROUP #
OH
01
—
9338635
PPG MEDICARE GROUP #
OH
Enumeration date
08/20/2006
Last updated
11/11/2015
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