Individual
DR. DION GRANT FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
12277 DE PAUL DR, SUITE 504, BRIDGETON, MO 63044-2516
(314) 298-3893
(314) 851-4408
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 298-3893
(314) 851-4408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007010564
MO
Other
Enumeration date
05/04/2007
Last updated
09/21/2012
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