Individual
AMY LYNN FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 395-5462
Mailing address
2413 EMILY LN, ELGIN, IL 60124-8743
(815) 721-0107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004533
IL
Other
Enumeration date
12/13/2012
Last updated
05/01/2024
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