Individual
DR. DENNIS MICHAEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 S WILKES BARRE BLVD, WILKES BARRE, PA 18702-5040
(570) 829-2621
(570) 823-4332
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD053937L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001093739
—
PA
Enumeration date
03/08/2006
Last updated
08/12/2020
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