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NPI Code Detail

MEDICARE: ANDREA FISHER

MEDICARE: ANDREA 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1467955930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA FISHER
Provider Business Mailing Address
First Line : 2918 HOLYOKE DR
Second Line :
City : TOLEDO
State : OH
Zip : 43606-3974
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 316 N MICHIGAN ST STE 914
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5665
Country : US
Telephone Number : 419-246-9405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2018
Last Update Date : 03/12/2018

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Directions to “ ANDREA FISHER ” Practice Location

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