Individual
JAMIE LEE FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
114 E MAUMEE ST STE 101, ANGOLA, IN 46703-1978
(260) 667-8269
Mailing address
114 E MAUMEE ST STE 101, ANGOLA, IN 46703-1978
(260) 667-8269
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002990A
IN
Other
Enumeration date
08/01/2017
Last updated
11/13/2018
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