Provider Demographics
NPI:1548214455
Name:FISCHER, ROBERT S (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:FISCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3844 S LINDBERGH BLVD.
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127
Mailing Address - Country:US
Mailing Address - Phone:314-698-2500
Mailing Address - Fax:314-698-2323
Practice Address - Street 1:3844 S. LINDBERGH BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127
Practice Address - Country:US
Practice Address - Phone:314-698-2500
Practice Address - Fax:314-698-2323
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8605207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP01134610OtherRAILROAD MEDICARE
MO003013422Medicare ID - Type Unspecified
MOP01134610OtherRAILROAD MEDICARE
MO152800113Medicare PIN