Individual
DR. THOMAS A. FIEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4425 N PT WASH RD, SUITE # 103, GLENDALE, WI 53212-1082
(414) 364-2283
Mailing address
PO BOX 170766, MILWAUKEE, WI 53217-8065
(414) 364-2283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002035-015
WI
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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