Individual
MICAH FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 W MARCH LN, STOCKTON, CA 95219-6500
(541) 292-7674
Mailing address
1937 LEXINGTON DR, LODI, CA 95242-4772
(541) 292-7674
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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