Provider Demographics
NPI:1972957256
Name:FISCHER, RICHARD PAUL JR
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:PAUL
Last Name:FISCHER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51809 LESHAN DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-3179
Mailing Address - Country:US
Mailing Address - Phone:248-930-3883
Mailing Address - Fax:
Practice Address - Street 1:51809 LESHAN DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-3179
Practice Address - Country:US
Practice Address - Phone:248-930-3883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other