Individual
DR. SEMYON FISHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4775
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22116
MS
207L00000X
Anesthesiology Physician
M2949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125223
—
MS
05
—
157804
—
AL
Enumeration date
06/03/2006
Last updated
12/22/2021
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