Provider Demographics
NPI:1578530622
Name:FIORE, MICHAEL C (MD MPH)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:C
Last Name:FIORE
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 1:1107 RUTLEDGE ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-3825
Mailing Address - Country:US
Mailing Address - Phone:608-334-3655
Mailing Address - Fax:
Practice Address - Street 1:1107 RUTLEDGE ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3825
Practice Address - Country:US
Practice Address - Phone:608-334-3655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI27396207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine