MEDICARE: DAVID CARL FISHER M.D.

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	207R00000X	Internal Medicine Physician	35.064603	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073691440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CARL FISHER M.D.

Provider Business Mailing Address
First Line	:	3805 EDWARDS RD
Second Line	:	SUITE 350
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1900
Country	:	US
Telephone Number	:	513-321-0833
Fax Number	:	513-321-6063

Provider Business Practice Location Address
First Line	:	3805 EDWARDS RD
Second Line	:	SUITE 350
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1900
Country	:	US
Telephone Number	:	513-321-0833
Fax Number	:	513-321-6063

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	11/18/2016

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Directions to “ DAVID CARL FISHER M.D.” Practice Location

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