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Individual

DR. BRIAN MICHAEL FISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O., M.S.

Contact information

Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
(314) 996-7691
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
(314) 996-7691

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015043478
MO
208M00000X
Hospitalist Physician
Primary
2015043478
MO

Other

Enumeration date
06/19/2012
Last updated
02/04/2021
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