Individual
MR. MICHAEL THOMAS FISHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
28837 W KALONG CIR, SOUTHFIELD, MI 48034-5665
(248) 358-2979
(248) 358-5012
Mailing address
28837 W KALONG CIR, SOUTHFIELD, MI 48034-5665
(248) 358-2979
(248) 358-5012
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
Other
Enumeration date
03/26/2011
Last updated
03/26/2011
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