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Individual

CORY M FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
19324 DETROIT RD, ROCKY RIVER, OH 44116-1802
(440) 356-3640
(440) 356-3729
Mailing address
19324 DETROIT RD, ROCKY RIVER, OH 44116-1802
(440) 356-3640
(440) 356-3729

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.008679
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000526275
ANTHEM BC/BS
01
00000526262
ANTHEM BC/BS
05
2749066
OH
01
P00441657
RRCARE
OH
01
P00705928
RAILROAD CARE
OH
Enumeration date
04/17/2007
Last updated
06/26/2009
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