Jeffrey Fisher
Internist Adolescent Medicine
8545 Common Rd # 200
Warren
, Michigan 48093-6772
Jeffrey Fisher
Internist Adolescent Medicine
8545 Common Rd # 200
Warren
, Michigan 48093-6772
(586) 751-3822
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About
Features
Specialties
- Internist
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Jeffrey Fisher
- 8545 Common Rd # 200
- Warren, MI
- Zip : 48093-6772
- Fax : (586) 751-3822
- Phone : (586) 751-0732
Second Address
- Jeffrey Fisher
- 8545 Common Rd # 200
- Warren, MI
- Zip : 48093-6772
- Fax : (586) 751-3822
- Phone : (586) 751-0732
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301085699 | MI |
| N | 111NI0900X | Internist | 4301085699 | MI |
| Y | 2080A0000X | Adolescent Medicine | 4301085699 | MI |
National Provider Identifier
| NPI | 1194930891 |
|---|---|
| Provider Name | Jeffrey Fisher |
| First Address | Warren, MI 48093-6772 |
| Second Address | Warren, MI 48093-6772 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2007 |
| Last Update Date | 07/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.