Whalio Doctors

NPI 1013926682

Bradley Jay Fedderly, MD

Practitioner Hospitalist Physician Green Bay, WI

Practice location

Address
2845 Greenbrier Rd, Green Bay, WI 54311-6519
Phone
(920) 288-8100
Fax
(414) 762-4225

Registered specialties (2)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 30118 (WI)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 30118-20 (WI)

Registry record

NPI
1013926682
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Aug 2006
Record last updated
26 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.