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Individual

ALEXANDRA H FAIRCHILD

Active
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Individual

ALEXANDRA H FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
63752
WI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
63752
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255658464
WI
Enumeration date
04/27/2010
Last updated
06/30/2016
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