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NPI Code Detail

MEDICARE: DWAYNE F FISHER

MEDICARE:   DWAYNE F 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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1447981147
Entity Type Code : Individual
Provider Name (Legal Business Name) : DWAYNE F FISHER
Provider Business Mailing Address
First Line : 18912 ARROWHEAD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44119-2143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18912 ARROWHEAD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44119-2143
Country : US
Telephone Number : 216-773-3441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2022
Last Update Date : 06/22/2022

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Directions to “ DWAYNE F FISHER ” Practice Location

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