Individual
DR. MARC F. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2514 67TH AVENUE LOOP, SUITE, MERIDIAN, MS 39307-7259
(601) 553-0707
(601) 553-0775
Mailing address
PO BOX 2839, MERIDIAN, MS 39302-2839
(601) 553-0707
(601) 553-0775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10100
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122902
—
MS
05
—
009935510
—
AL
01
—
080160931
RAILROAD MEDICARE
—
01
—
730-03220
BLUE CROSS OF AL
—
Enumeration date
11/22/2005
Last updated
04/26/2013
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