Individual
ROBERT H FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W GREEN TREE RD, GLENDALE, WI 53217
(262) 784-5431
(414) 352-0083
Mailing address
350W GREEN TREE RD 200, GLENDALE, WI 53217-3815
(414) 352-0084
(414) 352-0083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34325-020
WI
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
34325-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0557326
CIGNA
—
05
—
31925700
—
WI
01
—
392032824
WEA
—
01
—
3920328241071690
UNITED HEALTHCARE
—
01
—
4638942
AETNA
—
01
—
P00308927
MEDICARE RAILROAD
WI
Enumeration date
07/27/2006
Last updated
11/24/2015
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