Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christian Matthew Fishwick

Individual provider Medical Physician Assistant · NPI 1205609781

Christian Matthew Fishwick is a Physician Assistant in Petoskey, Michigan. Qualified in 2023, 3 years ago. Practices with Great Lakes Ear Nose and Throat Specialists PC, a 7-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

1114 Charlevoix Ave
Petoskey, MI 49770-9701
Phone: (231) 489-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Oxbow Dr, Alpena, MI 49707-1448 — (231) 489-8151
  • 829 N Center Ave Ste 160, Gaylord, MI 49735-1598 — (231) 489-8151

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1205609781
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Great Lakes Ear Nose And Throat Specialists Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Petoskey