Individual
DR. ERIC DUANE FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 523-5864
(812) 522-5835
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 523-5864
(812) 522-5835
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01056648A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000492534
ANTHEM BCBS PIN
IN
01
—
045576
SOUTHEASTERN IN HEALTH OR
IN
05
—
200325800
—
IN
Enumeration date
07/06/2006
Last updated
11/16/2018
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