Individual
DR. CARL R. FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
527 MEDICAL PARK DR, STE 303, BRIDGEPORT, WV 26330-9008
(304) 933-3872
(304) 933-3877
Mailing address
527 MEDICAL PARK DR, STE 303, BRIDGEPORT, WV 26330-9008
(304) 933-3872
(304) 933-3877
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15725
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721900
BLUE CROSS BLUE SHIELD ID
WV
05
—
0124644000
—
WV
Enumeration date
06/16/2006
Last updated
06/11/2012
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