MEDICARE: ALLERGY RESEARCH & CARE SC

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	207K00000X	Allergy & Immunology Physician	34325-020	WI

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	:	1477660009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY RESEARCH & CARE SC

Provider Business Mailing Address
First Line	:	350 GREEN TREE ROAD
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217-3815
Country	:	US
Telephone Number	:	262-784-5431
Fax Number	:	262-784-5472

Provider Business Practice Location Address
First Line	:	350 GREEN TREE ROAD
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217-3815
Country	:	US
Telephone Number	:	262-754-5431
Fax Number	:	262-784-5472

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT HENRI FISHER
Credential	:	M.D.
Telephone Number	:	262-784-5431

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	10/22/2010

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Directions to “ALLERGY RESEARCH & CARE SC ” Practice Location

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