NPI 1629153077
Bradley M Fideler, MD
Practice location
- Address
- N2950 State Road 67, Lake Geneva, WI 53147-2655
- Phone
- (262) 245-0535
Registered specialties (2)
Orthopaedic Hand Surgery Physician
Primary
Orthopaedic Hand Surgery Physician
Registry record
- NPI
- 1629153077
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Oct 2006
- Record last updated
- 8 Jul 2007
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.