Individual
RANDALL LEE FIETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
980 E TWIN OAKS DR, OAK CREEK, WI 53154-7950
(414) 571-9680
Mailing address
980 E TWIN OAKS DR, OAK CREEK, WI 53154-7950
(414) 571-9680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28513
WI
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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