Individual
FREDERICK A FIEDLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6263 POPLAR AVE, MEMPHIS, TN 38119-4736
(901) 761-6157
Mailing address
PO BOX 383260, GERMANTOWN, TN 38183-3260
(901) 767-6175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD16945
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144525
BCBST
TN
05
—
3845207
—
TN
Enumeration date
03/08/2006
Last updated
07/09/2007
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