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Individual

DR. ADAM FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2250 MONROE ST, DEARBORN, MI 48124-3008
(313) 563-2632
Mailing address
1110 WAVERLY RD, FORT LAUDERDALE, FL 33312-2522
(313) 410-9788

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901020602
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN19509
FL

Other

Enumeration date
08/01/2011
Last updated
11/29/2016
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