Provider Demographics
NPI:1184661324
Name:FISCHER, ANNE CROWE (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:CROWE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 45TH ST
Mailing Address - Street 2:STE 301
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2450
Mailing Address - Country:US
Mailing Address - Phone:561-295-9100
Mailing Address - Fax:561-845-9295
Practice Address - Street 1:927 45TH ST
Practice Address - Street 2:STE 301
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2450
Practice Address - Country:US
Practice Address - Phone:561-295-9100
Practice Address - Fax:561-845-9295
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD44628208600000X
FLME 128177208600000X, 2086S0120X
MI43011018192086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1184661324Medicaid
MDKR71388YMedicare ID - Type Unspecified