Provider Demographics
NPI:1972591915
Name:FISHER, ANNA M (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:FISHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2580 CHARLESTOWN RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150
Mailing Address - Country:US
Mailing Address - Phone:812-948-9500
Mailing Address - Fax:812-948-9600
Practice Address - Street 1:2580 CHARLESTOWN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150
Practice Address - Country:US
Practice Address - Phone:812-948-9500
Practice Address - Fax:812-948-9600
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2018-12-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01036882A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100116610AMedicaid
IN233700Medicare ID - Type UnspecifiedMEDICARE
IN100116610AMedicaid