Individual
DR. MARCUS STEWART FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1899 EIDER CT, TALLAHASSEE, FL 32308-4537
(850) 878-5143
(850) 942-6622
Mailing address
1899 EIDER CT, TALLAHASSEE, FL 32308-4537
(850) 878-5143
(850) 942-6622
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME98343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278056900
—
FL
01
—
95190
INDIVIDUAL BCBS PROV#
FL
01
—
P00417819
RAILROAD MEDICARE
FL
Enumeration date
01/11/2006
Last updated
01/17/2008
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