| Richard Fisher Md Sc | |
|
3238 S. 16th Street Milwaukee WI 53215 | |
| (414) 672-5700 | |
| (414) 672-5757 |
| Full Name | Richard Fisher Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 3238 S. 16th Street, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Richard M Fisher (PRESIDENT) |
| Authorized Official Contact | 4146725700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Fisher Md Sc 3238 S. 16th Street Milwaukee WI 53215 Ph: (414) 672-5700 | Richard Fisher Md Sc 3238 S. 16th Street Milwaukee WI 53215 Ph: (414) 672-5700 |
| NPI Number | 1528366895 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528366895 | NPI | - | NPPES |
| 319-52000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27622 (Wisconsin) | Primary |
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