Individual
BRUCE L FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 DUTCHMANS LN STE 316, LOUISVILLE, KY 40207-4702
(502) 585-4321
(502) 566-6338
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 585-4321
(502) 566-6338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01039993A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
23170
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060014169
RAILROAD MEDICARE
IN
01
—
060057270
RAILROAD MEDICARE
KY
05
—
200009600
—
IN
05
—
64231707
—
KY
01
—
P00258374
RAILROAD MEDICARE
KY
Enumeration date
10/07/2005
Last updated
03/27/2018
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