Individual
DAVID MICHAEL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
38334
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
38334
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2960
PARTNERS
—
01
—
32262
BCBS
—
01
—
34492
MEDCOST
—
05
—
383343
—
SC
01
—
4466301
AETNA
—
05
—
6000436000
—
WV
05
—
6034161
—
VA
05
—
8932262
—
NC
Enumeration date
12/13/2005
Last updated
08/31/2021
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