Individual
DR. BRIAN M FIDDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7840 E 96TH ST, FISHERS, IN 46037-9629
(317) 254-6480
(317) 259-8609
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003168
IN
Other
Enumeration date
12/22/2006
Last updated
11/05/2021
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