Individual
DR. JEREMY J FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15400 19 MILE RD, STE 150, CLINTON TWP, MI 48038-6327
(586) 263-3400
(586) 412-3670
Mailing address
15400 19 MILE RD, STE. 150, CLINTON TWP, MI 48038-6327
(586) 263-3400
(586) 412-3670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101015337
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4840465
—
MI
Enumeration date
07/19/2006
Last updated
03/18/2021
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