Individual
ANDREW J FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-1000
Mailing address
62480 TURKEY TRL, SOUTH BEND, IN 46614-9416
(574) 850-5671
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01043726A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046990
—
IN
Enumeration date
07/01/2005
Last updated
12/20/2024
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