Individual
JACQUELINE MARIE FIALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-2135
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-2135
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
63135
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2013
Last updated
07/21/2022
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