Mr. Michael Thomas Fishburn, RPA

Individual provider Radiology Practitioner Assistant · NPI 1760781926

Mr. Michael Thomas Fishburn, RPA is a Radiology Practitioner Assistant in Southfield, Michigan. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since: 2011

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Practice location Address checks out

28837 W Kalong Cir
Southfield, MI 48034-5665
Phone: (248) 358-2979
Fax: (248) 358-5012

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Specialties & licences

Radiology Practitioner Assistant (primary)	Taxonomy 243U00000X

Record details

NPI number	1760781926
Entity type	Individual (Type 1)
Gender	Male
Credentials	RPA
Sole proprietor	Yes
NPI enumerated	March 26, 2011
Last updated in NPPES	March 26, 2011