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Individual

DR. KRISTOPHER REED FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
235 W. SCHROCK RD, WESTERVILLE, OH 43081-2874
(614) 895-0400
(614) 895-2911
Mailing address
428 COUNTRY LINE RD W, WESTERVILLE, OH 43082-7294
(614) 847-4100
(614) 430-1601

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
32355
SC
207N00000X
Dermatology Physician
44888
TN
207ND0900X
Dermatopathology Physician
35137423
OH
207ND0900X
Dermatopathology Physician
Primary
44888
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
44888
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003181475A
GA
05
0388256
OH
05
07820719
MS
05
1523453
TN
05
184357
AL
05
186863001
AR
05
1912125204
MO
Enumeration date
04/23/2007
Last updated
05/19/2021
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