Fisher, Graeme Donald

Fisher, Graeme Donald is an individual health care provider with primary practice located at 4117 Veterans Memorial Drive , Mount Vernon IL 62864. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Fisher, Graeme Donald can be contacted via phone (618) 241-7016.

Contact Information

Primary practice address
4117 Veterans Memorial Drive Mount Vernon IL 62864
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 152515 Massachusetts
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X Illinois

Profile Details

NPI number 1659362929
LBN Legal business name Fisher, Graeme Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659362929 NPPES
Massachusetts MEDICAID 3162044

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