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Individual

SARAH JANE ELIZABETH FISHER

Active
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Individual

SARAH JANE ELIZABETH FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02006565A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152230
GREAT LAKES HEALTH PLAN
MI
05
4803229
MI
01
SG008555
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/02/2006
Last updated
05/10/2023
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