Provider Demographics
NPI:1497881478
Name:FISHER, ANDREW WHEELER (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:WHEELER
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:447 GREAT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1715
Mailing Address - Country:US
Mailing Address - Phone:610-525-4547
Mailing Address - Fax:610-519-1556
Practice Address - Street 1:447 GREAT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1715
Practice Address - Country:US
Practice Address - Phone:610-525-4547
Practice Address - Fax:610-519-1556
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA027481-E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC32828Medicare UPIN