Organization
ROBERT G FIDLER DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GORDON FIDLER SR. DPM (OWNER)
(419) 625-0865
Entity
Organization
Contact information
Practice address
2309 COLUMBUS AVE, SANDUSKY, OH 44870-4827
(419) 625-0865
(419) 625-1811
Mailing address
2309 COLUMBUS AVE, SANDUSKY, OH 44870-4827
(419) 625-0865
(419) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36001211
OH
261Q00000X
Clinic/Center
Primary
36001211
OH
Other
Enumeration date
04/04/2011
Last updated
04/05/2011
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