Individual
DR. LINDA K. FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
628 E 4TH ST, WATERLOO, IL 62298-1644
(618) 939-5511
Mailing address
628 E 4TH ST, WATERLOO, IL 62298-1644
(618) 939-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036069283
IL
207Q00000X
Family Medicine Physician
R3E88
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206920811
—
MO
01
—
P00345562
RR MEDICARE
MO
Enumeration date
07/19/2006
Last updated
11/11/2008
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