Individual
MR. GARY MICHAEL FISHER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
807 12TH ST, TELL CITY, IN 47586
(812) 547-7632
(812) 547-8990
Mailing address
807 12TH ST, TELL CITY, IN 47586
(812) 547-7632
(812) 547-8990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001114A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042703
BLUE CROSS
IN
Enumeration date
12/12/2006
Last updated
07/08/2007
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