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Individual

STEPHEN A. FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1315 HOSPITAL DRIVE, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
017728
ME
207L00000X
Anesthesiology Physician
Primary
042-0012080
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1018260
VT
05
286493
OR
05
3076540
NH
Enumeration date
05/11/2006
Last updated
10/22/2014
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