Individual
MICHAEL FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 HIGHWAY 361, BLDG 2516 / MEDICAL, CRANE, IN 47522-4000
(812) 854-1220
Mailing address
300 HIGHWAY 361, BLDG 2516 / MEDICAL, CRANE, IN 47522-4000
(812) 854-1220
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
77926
MT
208D00000X
General Practice Physician
0102203591
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2012
Last updated
07/24/2019
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