Individual
DR. JACK MICHAEL FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
149 MAIN STREET S, BOX 547, HECTOR, MN 55342
(320) 848-2611
Mailing address
149 MAIN STREET S, BOX 547, HECTOR, MN 55342
(320) 848-2611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12373
MN
Other
Enumeration date
12/16/2006
Last updated
08/30/2013
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