Organization
RENAISSANCE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA M. FISHER MD (MANAGER/OWNER)
(812) 948-9500
Entity
Organization
Contact information
Practice address
2580 CHARLESTOWN RD, SUITE 2, NEW ALBANY, IN 47150
(812) 948-9500
(812) 948-9600
Mailing address
2580 CHARLESTOWN RD, SUITE 2, NEW ALBANY, IN 47150
(812) 948-9500
(812) 948-9600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036882A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116610A
—
IN
Enumeration date
07/17/2007
Last updated
12/28/2018
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