Jeffrey Fisher

Pediatric Adolescent Medicine | Male

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Complete Profile:

Jeffrey Fisher basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Jeffrey Fisher
Gender :	Male

Business Address:

Jeffrey Fisher address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	8545 Common Rd, # 200 Warren, MI, 48093-6772 United States
Phone Number :	586-751-0732
Fax Number :	586-751-3822

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1194930891
NPI Entity Type :	Individual
First Enrolment Date :	14 May, 2007
Last Updated On :	07 Dec, 2017

Medicare Participation:

Jeffrey Fisher participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0749326668
Medicare Enrollment ID :	I20091007000402
Primary Specialty :	Internal Medicine
Medical School :	Loyola University Of Chicago, Stritch School Of Medicine
Graduation Year :	2005
Accepts Medicare?	Yes. Jeffrey Fisher accepts medicare insurance.

Group Practice Association:

Jeffrey Fisher is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jeffrey Fisher is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Michigan Adult And Child Medicine	9638271505	4	11885 E 12 Mile Rd Suite 100a Warren, MI - 480933465 Ph: 5867510732	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey Fisher are as mentioned. Primary taxonomy code for Jeffrey Fisher is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	4301085699	MI
2080A0000X	Pediatrics Adolescent Medicine	Yes	4301085699	MI

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	8545 Common Rd, # 200 Warren, MI, 48093-6772 United States
Phone Number :	586-751-0732
Fax Number :	586-751-3822

Business Location:

Patients can refer following map for directions to Jeffrey Fisher practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.