Individual
DR. MICHAEL ANTHONY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 MILL ST, SUITE 120, GAHANNA, OH 43230-3059
(614) 472-0092
(614) 472-0094
Mailing address
136 MILL ST, SUITE 120, GAHANNA, OH 43230-3059
(614) 472-0092
(614) 472-0094
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3832
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541536
ANTHEM BC BS
OH
01
—
11804074
CAQH
OH
05
—
2956225
—
OH
Enumeration date
08/24/2007
Last updated
09/17/2013
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