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Micheal Fisk
NPI 1528689551 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2413 Saint Robert Ln
Saint Charles, MO 63301 - Phone
- (314) 378-6489
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri