Provider Demographics
NPI:1871573618
Name:FIXLER, ROBERT MARC (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MARC
Last Name:FIXLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150
Mailing Address - Country:US
Mailing Address - Phone:513-831-3003
Mailing Address - Fax:513-831-3178
Practice Address - Street 1:3120 BURNET AVE
Practice Address - Street 2:STE 302
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-281-6044
Practice Address - Fax:513-281-2322
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35052936207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0703840Medicaid
F10836552Medicare ID - Type Unspecified
A17237Medicare UPIN