Dale P Fanney is a Family Medicine in Lodi, Wisconsin. Dale P Fanney practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dale P Fanney is 1508831413. The last update date is 2010-06-07.
Dale P Fanney's current location address is 160 Valley Dr, Lodi, Wisconsin. You can contact this provider via phone number 6085923296. The mailing address for Dale P Fanney is 160 Valley Dr, Lodi, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale P Fanney |
|---|---|
| Address | 160 Valley Dr, Lodi, Wisconsin |
| Phone Number | 6085923296 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508831413 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2010-06-07 |
Provider Mailing Address Detail
| Address | 160 Valley Dr |
|---|---|
| City | Lodi |
| State | Wisconsin (WI) |
| Post Code | 535551464 |
| Phone Number | 6085923296 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 23420 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80051114 | WI | RAILROAD MEDICARE | |
| 30344600 | WI | -- |
Post Comment/ Review Below
Where is the Dale P Fanney located?
The Dale P Fanney is located at 160 Valley Dr, Lodi, WI 535551464.
What is the Dale P Fanney's specialty and taxonomy code?
The Dale P Fanney's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When was the Dale P Fanney's 1508831413 issued?
The Dale P Fanney's 1508831413 was issued on 2006-02-22.
On what date did the Centers for Medicare & Medicaid Services issue the 1508831413 to Dale P Fanney?
The Dale P Fanney received its 1508831413 assignment from the Centers for Medicare & Medicaid Services on 2006-02-22.
When was the information pertaining to Dale P Fanney most recently updated or revised?
The details related to Dale P Fanney, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-07.