NPI 1093586281

Michael Shaun Fisher

Practitioner Home Modifications Contractor Saint Clair, MO

Practice location

Address: 1335 Redwood Dr, Saint Clair, MO 63077-2018
Phone: (636) 358-3019

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 320900000X (MO)

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Registry record

NPI: 1093586281
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2024
Record last updated: 16 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.