Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D44628 | MD |
N | 208600000X | Surgeon | D44628 | MD |
N | 208200000X | Surgeon | ME 128177 | FL |
N | 208600000X | Surgeon | ME 128177 | FL |
N | 2086S0120X | Pediatric Surgery | 4301101819 | MI |
Y | 2086S0120X | Pediatric Surgery | ME 128177 | FL |
NPI | 1184661324 |
---|---|
Provider Name | Anne Crowe Fischer |
First Address | West Palm Beach, FL 33407-2450 |
Second Address | West Palm Beach, FL 33407-2450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 28/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1184661324 | (05) | MI |