Individual
DR. GARY MICHAEL FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
618 ST LOUIS ROAD, EDWARDSVILLE, IL 62025
(618) 656-7111
Mailing address
618 ST LOUIS ROAD, EDWARDSVILLE, IL 62025
(618) 656-7111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
12/28/2006
Last updated
08/23/2007
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