Individual
DR. ROLBERT SAINT LAURENT FISCHRE' III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 CHAMBERS RD, CARO, MI 48723-9293
(989) 673-3191
Mailing address
1140 WHITEPOND RD, EAST LANSING, MI 48823-2736
(517) 410-8011
(517) 337-3188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301404579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G96036
MEDICARE PART B
MI
05
—
1758845
—
MI
01
—
234025
MEDICARE PART A
MI
Enumeration date
09/29/2006
Last updated
09/22/2009
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