Healthcare Provider Details

I. General information

NPI: 1871573618
Provider Name (Legal Business Name): ROBERT MARC FIXLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 BURNET AVE STE 302
CINCINNATI OH
45229
US

IV. Provider business mailing address

231 MAIN ST
MILFORD OH
45150
US

V. Phone/Fax

Practice location:
  • Phone: 513-281-6044
  • Fax: 513-281-2322
Mailing address:
  • Phone: 513-831-3003
  • Fax: 513-831-3178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35052936
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: