Individual
EDWARD G FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-9620
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
37098
WI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
37098
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32023000
—
WI
Enumeration date
09/25/2006
Last updated
09/30/2010
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