Individual
MICHAEL JOHN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MEDICAL CENTER DRIVE, WILMINGTON, NC 28401
(910) 341-1886
(910) 343-6019
Mailing address
1025 MEDICAL CENTER DR, WILMINGTON, NC 28401-7354
(910) 341-1886
(910) 343-6019
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2005-01738
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230585
MEDICARE GRP. #
NC
05
—
Q034330
—
TN
Enumeration date
04/04/2007
Last updated
05/09/2018
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