Healthcare Provider Details

I. General information

NPI: 1629013677
Provider Name (Legal Business Name): JOYCE LS FISCHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S MAIN ST
BLUFFTON IN
46714-2503
US

IV. Provider business mailing address

1 CAYLOR NICKEL SQ
BLUFFTON IN
46714-2529
US

V. Phone/Fax

Practice location:
  • Phone: 260-919-3300
  • Fax: 260-919-3563
Mailing address:
  • Phone: 260-824-3500
  • Fax: 260-919-3551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01034613A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: