MEDICARE: DR. AARON A. FISHER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	018166	MI

General Provider Information

NPI Number	:	1023182193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON A. FISHER D.D.S.

Provider Business Mailing Address
First Line	:	1942 BEARINGER RD.
Second Line	:
City	:	ATTICA
State	:	MI
Zip	:	48412
Country	:	US
Telephone Number	:	810-245-7007
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 E 3RD ST
Second Line	:
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-1322
Country	:	US
Telephone Number	:	810-724-8080
Fax Number	:	810-724-3309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/08/2007

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