Individual
MICHAEL FISHER
Active
Individual
MICHAEL FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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