Raymond T Fedderly in Milwaukee - Pediatric Cardiology

Raymond T Fedderly - NPI 1790736619

Raymond T Fedderly is a Pediatric Cardiology in Milwaukee, Wisconsin. Raymond T Fedderly practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Raymond T Fedderly is 1790736619. The last update date is 2023-07-11.

Raymond T Fedderly's current location address is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142662380 and fax number 4142662294. The mailing address for Raymond T Fedderly is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond T Fedderly
Address 9000 W Wisconsin Ave, Milwaukee, Wisconsin
Phone Number 4142662380
Fax Number 4142662294
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790736619
Provider Enumeration Date 2006-05-15
Last Updated Date 2023-07-11

Provider Mailing Address Detail

Address 9000 W Wisconsin Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532264874
Phone Number 4142662380
Fax Number 4142662294

Provider's Primary Taxonomy Detail

Speciality Pediatric Cardiology
Taxonomy 2080P0202X
Licence No 32186
Definition:
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1790736619 WI --
002000115T HUMANA

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FAQs about Raymond T Fedderly

What is the Raymond T Fedderly's unique identification number?

The Raymond T Fedderly has been assigned the NPI (National Provider Identifier) Number 1790736619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Raymond T Fedderly's facilities are geographically located?

The facilities of Raymond T Fedderly are physically situated at the following location: 9000 W Wisconsin Ave, Milwaukee, WI, 532264874.

What is Raymond T Fedderly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Raymond T Fedderly is Pediatric Cardiology, and the taxonomy code that classifies this field of practice is 2080P0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790736619 to Raymond T Fedderly?

The Centers for Medicare & Medicaid Services assigned the 1790736619 to Raymond T Fedderly on 2006-05-15.

When was the information regarding Raymond T Fedderly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Raymond T Fedderly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-07-11.

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