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1134155229
MICHAEL T FISHER
BOISE, ID
NPI
1134155229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: ID M8598)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
MICHAEL T FISHER M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
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Mailing Address
MICHAEL T FISHER M.D.
PO BOX 9696
BOISE, ID 83707-4696
Phone number: 208-472-8118
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