Provider Demographics
NPI:1861417636
Name:FISHER, ANN CAROLINE (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:CAROLINE
Last Name:FISHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1850 SULLIVAN AVE
Mailing Address - Street 2:SUITE 540
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2221
Mailing Address - Country:US
Mailing Address - Phone:650-755-6900
Mailing Address - Fax:650-755-2107
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA95738207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A957380Medicare PIN