Individual
GARY R FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11725 N ILLINOIS ST, SUITE 265, CARMEL, IN 46032-3015
(317) 688-5100
(317) 688-5111
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01025668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066370
—
IN
Enumeration date
07/28/2006
Last updated
10/05/2020
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