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Individual

MICHAEL ROBERT FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPRS

Contact information

Practice address
1212 TOD PL NW, WARREN, OH 44485-2475
(330) 469-6833
Mailing address
2601 PARKMAN RD NW, WARREN, OH 44485
(330) 936-7968

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003233
OH

Other

Enumeration date
01/24/2023
Last updated
01/24/2023
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