Individual
STEPHEN RONALD FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
062037
GA
207X00000X
Orthopaedic Surgery Physician
SF068421
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107001A
—
GA
05
—
003107001B
—
GA
05
—
003107001C
—
GA
05
—
003107001D
—
GA
05
—
003107001E
—
GA
01
—
2151393
UNITEH HEALTHCARE
GA
05
—
4352496
—
MI
01
—
52305563
BCBS
GA
01
—
7337297
AETNA
GA
01
—
8306576
CIGNA
GA
Enumeration date
03/16/2006
Last updated
02/26/2021
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