Individual
STEPHEN FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1430
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00025793
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106133
L&I
WA
05
—
8110363
—
WA
Enumeration date
07/18/2006
Last updated
08/26/2013
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