Healthcare Provider Details

I. General information

NPI: 1497780761
Provider Name (Legal Business Name): JOHN STEWART FISCHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83745 HIGHWAY 9 STE B
ASHLAND AL
36251-7988
US

IV. Provider business mailing address

83745 HIGHWAY 9 STE B
ASHLAND AL
36251-7988
US

V. Phone/Fax

Practice location:
  • Phone: 256-354-4142
  • Fax: 256-354-0396
Mailing address:
  • Phone: 205-936-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number19176
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: