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Individual

MICHAEL C FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.O.

Contact information

Practice address
315 N HILLSIDE ST, SUITE C, WICHITA, KS 67214-4915
(316) 993-6391
Mailing address
824 E 6TH ST, NEWTON, KS 67114-3026
(316) 993-6391

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
KS

Other

Enumeration date
09/28/2012
Last updated
11/16/2012
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