Provider Demographics
NPI:1225153182
Name:FISCHER, MAX KARL (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:KARL
Last Name:FISCHER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 LANDMARK DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4987
Mailing Address - Country:US
Mailing Address - Phone:410-766-1324
Mailing Address - Fax:
Practice Address - Street 1:810 LANDMARK DR
Practice Address - Street 2:SUITE 116
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4987
Practice Address - Country:US
Practice Address - Phone:410-766-1324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD74439207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD056603900Medicaid
MD257324YWBMedicare PIN