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NPI Code Detail

MEDICARE: PAMELA C FISHER P.A.

MEDICARE: PAMELA C FISHER P.A.
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
1363AM0700XMedical Physician Assistant5601002844MI
2363A00000XPhysician Assistant5601002844MI

General Provider Information

NPI Number : 1912909359
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA C FISHER P.A.
Provider Business Mailing Address
First Line : 3621 S STATE ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1633
Country : US
Telephone Number : 734-647-5299
Fax Number :
Provider Business Practice Location Address
First Line : 1051 N CANTON CENTER RD
Second Line :
City : CANTON
State : MI
Zip : 48187-5097
Country : US
Telephone Number : 734-844-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 11/20/2019

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Directions to “ PAMELA C FISHER P.A.” Practice Location

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