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Individual
JUDITH E FITZGERALD
Active
Individual
JUDITH E FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31116-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134
DEAN HEALTH INSURANCE
WI
05
—
31638000
—
WI
Enumeration date
06/12/2006
Last updated
05/07/2008
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