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Individual
DR. COREY MICHAEL FIDLER
Active
Individual
DR. COREY MICHAEL FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103301175
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301175
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942566252
OPTIMA HEALTH PLAN
VA
05
—
1942566252
—
VA
01
—
540506332108
TRICARE
VA
Enumeration date
04/11/2012
Last updated
09/05/2025
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