Individual
DR. MICHAEL ALAN FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
(717) 273-9910
Mailing address
755 NORMAN DR, LEBANON, PA 17042-3704
(917) 543-6588
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
C1-0011247
DE
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD450715
PA
208VP0000X
Pain Medicine Physician
C1-0011247
DE
208VP0000X
Pain Medicine Physician
MD450715
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD450715
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103612379
—
PA
05
—
200164196
—
DE
Enumeration date
07/08/2009
Last updated
10/24/2024
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