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1083711170

NPI Code Detail

MEDICARE: DR. DAVID MICHAEL FISHER

MEDICARE: DR. DAVID MICHAEL FISHER

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	207X00000X	Orthopaedic Surgery Physician	2109341	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	BA0153	OTHER	NY	MEDICARE
8	P00144320	OTHER	NY	MEDICARE RAILROAD

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
2	510464332	OTHER	NY	FIDELIS
3	000527348001	OTHER	NY	BLUE CROSS & BLUE SHIELD
5	00026381301	OTHER	NY	UNIVERA
6	0911686	OTHER	NY	INDEPENDENT HEALTH
7	510464332	OTHER	NY	EMPIRE

General Provider Information

NPI Number	:	1083711170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MICHAEL FISHER

Provider Business Mailing Address
First Line	:	3673 SOUTHWESTERN BLVD
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1740
Country	:	US
Telephone Number	:	716-662-4827
Fax Number	:	716-662-2969

Provider Business Practice Location Address
First Line	:	3673 SOUTHWESTERN BLVD
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1740
Country	:	US
Telephone Number	:	716-662-4827
Fax Number	:	716-662-2969

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/29/2016

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Practice Fax: 716-662-2969

Directions to “ DR. DAVID MICHAEL FISHER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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