Individual
KENNETH A FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4335 ROXBURY LN, KALAMAZOO, MI 49008-3314
(269) 385-3586
Mailing address
PO BOX 20203, KALAMAZOO, MI 49019-1203
(269) 375-7565
(269) 375-7565
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301062620
MI
Other
Enumeration date
05/18/2006
Last updated
03/18/2010
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