Individual
WALKER FIEDERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3746 NATIONAL RD E, RICHMOND, IN 47374-3643
(765) 586-7907
Mailing address
3746 NATIONAL RD E, RICHMOND, IN 47374-3643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013396A
IN
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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