Individual
MR. MICHAEL FRANCIS FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2809 W CHARLESTON BLVD, STE. 150, LAS VEGAS, NV 89102-1998
(702) 476-9999
(702) 946-1343
Mailing address
2809 W CHARLESTON BLVD, STE. 150, LAS VEGAS, NV 89102-1998
(702) 476-9999
(702) 946-1343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110002760
VA
363AM0700X
Medical Physician Assistant
1136
TN
363AM0700X
Medical Physician Assistant
PA891
KY
363AM0700X
Medical Physician Assistant
Primary
PA979
NV
363AS0400X
Surgical Physician Assistant
1136
TN
363AS0400X
Surgical Physician Assistant
PA 979
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3662079
—
TN
Enumeration date
07/08/2005
Last updated
06/14/2016
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