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Individual

DR. GRAEME DONALD FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4117 VETERANS MEMORIAL DRIVE, MOUNT VERNON, IL 62864
(618) 241-7016
Mailing address
6 SANDY RIDGE RD, STERLING, MA 01564-2362
(978) 422-9646

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
152515
MA
2085R0001X
Radiation Oncology Physician
MD2025-0590
NM
2085R0203X
Therapeutic Radiology Physician
Primary
036-115830
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3162044
MA
Enumeration date
11/04/2005
Last updated
11/21/2025
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