Organization
MICHAEL R FISHER DO, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. FISHER DO (PRESIDENT)
(270) 824-9222
Entity
Organization
Contact information
Practice address
44 MCCOY RD, SUITE 103, MADISONVILLE, KY 42431-2963
(270) 824-9222
(270) 824-8088
Mailing address
PO BOX 469, MADISONVILLE, KY 42431-0009
(270) 924-9222
(270) 824-8088
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200377020
—
IN
05
—
65936205
—
KY
Enumeration date
10/06/2005
Last updated
10/09/2012
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