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Individual

DR. STEPHEN T FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1593 OLENTANGY RD, GALION, OH 44833-9762
(419) 468-7785
(419) 468-7295
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 468-7785

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34004257
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0797679
OH
01
P01749399
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
03/31/2006
Last updated
12/29/2020
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