Healthcare Provider Details

I. General information

NPI: 1538137633
Provider Name (Legal Business Name): MICHAEL C. FISCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9048 SUGAR EST
ST THOMAS VI
00802-3634
US

IV. Provider business mailing address

9048 SUGAR EST
ST THOMAS VI
00802-3634
US

V. Phone/Fax

Practice location:
  • Phone: 340-776-8311
  • Fax: 501-200-3116
Mailing address:
  • Phone: 340-776-8311
  • Fax: 501-200-3116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-1074
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2022
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: