Individual
MICHAEL FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
44 MCCOY RD, SUITE 103, MADISONVILLE, KY 42431-2963
(270) 824-9222
(270) 824-8088
Mailing address
PO BOX 469, MADISONVILLE, KY 42431-0009
(270) 824-9222
(270) 824-8088
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02199
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200377020
—
IN
05
—
64021991
—
KY
Enumeration date
10/06/2005
Last updated
10/09/2012
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