Individual
JERRY L FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
13846
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930982
—
IA
01
—
30966
BCBS NE
—
01
—
461
MIDLANDS CHOICE
—
01
—
470781645
TRICARE
NE
05
—
470781645
—
NE
01
—
53577
BCBS IA
IA
01
—
P00673790
RAILROAD MEDICARE
IA
Enumeration date
08/31/2006
Last updated
04/10/2019
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