Individual
SAMUEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1483 COUNTRY KNOLL PL, SAINT JOSEPH, MI 49085-9491
(630) 826-9756
Mailing address
1483 COUNTRY KNOLL PL, SAINT JOSEPH, MI 49085-9491
(630) 826-9756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704411370
MI
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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