NPI 1033700216

Daniel T Fidler

Practitioner Specialist Marion, IN

Practice location

Address: 2040 S Western Ave, Marion, IN 46953-2823
Phone: (765) 673-4327

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 17001244A (IN)

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Registry record

NPI: 1033700216
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2021
Record last updated: 29 Jan 2021

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.