Brian Michael Fidlin in Milwaukee - Clinical
Brian Michael Fidlin - NPI 1083720759
Brian Michael Fidlin is a Clinical in Milwaukee, Wisconsin. Brian Michael Fidlin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian Michael Fidlin is 1083720759. The last update date is 2007-09-27.
Brian Michael Fidlin's current location address is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148053666. The mailing address for Brian Michael Fidlin is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Michael Fidlin |
|---|---|
| Address | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4148053666 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1083720759 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
| Address | 9000 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532264874 |
| Phone Number | 4148053666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2506057 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39756800 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brian Michael Fidlin?
The Brian Michael Fidlin has been issued the NPI (National Provider Identifier) 1083720759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Brian Michael Fidlin located?
The Brian Michael Fidlin is located at 9000 W Wisconsin Ave, Milwaukee, WI 532264874.
What is the area of specialization for Brian Michael Fidlin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian Michael Fidlin is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083720759 to Brian Michael Fidlin?
The Centers for Medicare & Medicaid Services assigned the 1083720759 to Brian Michael Fidlin on 2006-08-22.
As of what date was the information pertaining to Brian Michael Fidlin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brian Michael Fidlin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-27.
NPI Number: 1447253653
Address: 1009 N State Of Franklin Access Road, Johnson City, TN
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN