Individual
DR. CARL WALTER FIESER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 N WIGET LN, WALNUT CREEK, CA 94598-2408
(925) 691-9806
(925) 691-9807
Mailing address
450 N WIGET LN, WALNUT CREEK, CA 94598-2408
(925) 691-9806
(925) 691-9807
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A96870
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A96870
CA
Other
Enumeration date
03/09/2012
Last updated
09/13/2012
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