Individual
LEWIS FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
628 E 4TH ST, WATERLOO, IL 62298-1644
(618) 939-5511
Mailing address
628 E 4TH ST, WATERLOO, IL 62298-1644
(618) 939-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.077712
IL
207Q00000X
Family Medicine Physician
102900
MO
Other
Enumeration date
07/07/2006
Last updated
06/14/2011
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