Individual
MARY JO FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Mailing address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18723
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447349667
—
ME
01
—
17670
BCMO
MO
05
—
203277439
—
MO
Enumeration date
10/12/2006
Last updated
03/18/2020
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