Daniel T Fidler

NPI #1033700216 in Marion, Indiana

Provider Information

NPI Number: 1033700216
Entity Type: Individual
Name: Daniel T Fidler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 29, 2021
Last Updated: Jan 29, 2021

Practice Location

Address: 2040 S WESTERN AVE
City: Marion
State: Indiana
ZIP Code: 46953-2823
Phone: (765) 673-4327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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