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NPI Code Detail

MEDICARE: RICHARD FISHER MD SC

MEDICARE: RICHARD FISHER MD 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
1207Q00000XFamily Medicine Physician27622WI

Other Identifiers

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

General Provider Information

NPI Number : 1528366895
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD FISHER MD SC
Provider Business Mailing Address
First Line : 3238 S. 16TH STREET
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215
Country : US
Telephone Number : 414-672-5700
Fax Number : 414-672-5757
Provider Business Practice Location Address
First Line : 3238 S. 16TH STREET
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215
Country : US
Telephone Number : 414-672-5700
Fax Number : 414-672-5757
Authorized Official
Title or Position : PRESIDENT
Name : RICHARD M FISHER
Credential : MD
Telephone Number : 414-672-5700
Provider Enumeration Date : 03/10/2011
Last Update Date : 03/10/2011

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