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Contact Information

ROBERT A FISHMAN, MD
21000 E 12 MILE RD
SUITE 111
SAINT CLAIR SHORES, MI48081-1116
 Phone: 586-779-7610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ROBERT A FISHMAN · (Male)

NPI Number 1881786341
Status Active
Credentials MD
Entity Individual
Enumeration date 09/29/2006
Last updated 05/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # RF041043
  • MI Medicaid 1433910
  • Other 44033233 AETNA
  • Other 0500323 BLUE CARE NETWORK
  • Other 101764 CARE CHOICES
  • Other 2326702002 CIGNA
  • Other 103994 GREAT LAKES HEALTH
  • Other D91373 HEALTH ALLIANCE PLAN
  • Other C5083 MCAR
  • Other 040008563 RAILROAD MEDICARE
  • MI Other 040E06192 BLUE SHIELD GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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