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Individual

NORMAN FISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 S WOODS MILL RD, SUITE 410N, CHESTERFIELD, MO 63017-3625
(314) 469-6224
(314) 469-0744
Mailing address
222 S WOODS MILL RD, SUITE 410N, CHESTERFIELD, MO 63017-3625
(314) 469-6224
(314) 469-0744

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R6249
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10850652
CAQH
01
22630
BC/BS
MO
05
31085
MO
Enumeration date
07/17/2006
Last updated
10/21/2009
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