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Individual

DR. DALE A FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
110 W SAINT LOUIS ST, LEBANON, IL 62254-1559
(618) 537-4407
(618) 537-4409
Mailing address
110 W SAINT LOUIS ST, LEBANON, IL 62254-1559
(618) 537-4407
(618) 537-4409

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003933
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122910
HEALTHLINK
IL
01
1478203622
MAIL HANDLERS
IL
01
4405901
UNITED HEALTH CARE
IL
01
5844505
AETNA
IL
01
792350300
RAILROAD MEDICARE
IL
01
8282017
BLUE CROSS BLUE SHIELD
IL
01
T37356
MERCY HEALTH PLANS
IL
Enumeration date
06/10/2005
Last updated
08/15/2012
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