Most Relevant Information
Provider Data
| NPI Number: | 1003267089 |
| Provider Name: | MICHAEL FISHER CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 21495 |
Most Important Dates
| Enumeration Date: | 06/30/2016 |
| Last Updated: | 08/04/2016 |
Provider Practice Location
1265 UNION AVE
MEMPHIS
TN
381043415
Practice Location Phone/Fax
| Phone: | 9017255846 |
| Fax: |
Provider Mailing Location
6060 PRIMACY PKWY
SUITE 241
MEMPHIS
TN
381195745
Provider Mailing Phone/Fax
| Phone: | 9017255846 |
| Fax: |