Individual
DR. CHRISTOPHER MILES K FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1535 GULL RD, MSB 015, KALAMAZOO, MI 49048-1650
(269) 226-6933
(269) 226-6949
Mailing address
1535 GULL RD, MSB 015, KALAMAZOO, MI 49048-1650
(269) 226-6933
(269) 226-6949
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101010858
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114155871
—
MI
01
—
1417961137
BCBSM - BRONSON VICKSBURG OUTPATIENT CENTER
MI
05
—
1568414845
—
MI
01
—
2927272-11
MEDICAID THREE RIVERS
MI
01
—
WF061878
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/16/2006
Last updated
04/13/2011
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