Ralph B Fairchild in Wausau - Vascular Surgery

Ralph B Fairchild - NPI 1285694141

Ralph B Fairchild is a Vascular Surgery in Wausau, Wisconsin. Ralph B Fairchild practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Ralph B Fairchild is 1285694141. The last update date is 2023-04-27.

Ralph B Fairchild's current location address is 2400 Pine Ridge Blvd, Wausau, Wisconsin. You can contact this provider via phone number 7158472022. The mailing address for Ralph B Fairchild is 2400 Pine Ridge Blvd, Wausau, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Ralph B Fairchild
Address 2400 Pine Ridge Blvd, Wausau, Wisconsin
Phone Number 7158472022
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1285694141
Provider Enumeration Date 2006-03-24
Last Updated Date 2023-04-27

Provider Mailing Address Detail

Address 2400 Pine Ridge Blvd
City Wausau
State Wisconsin (WI)
Post Code 544017803
Phone Number 7158472022
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 51703
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34003000 WI --
K400235515 WI MEDICARE

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FAQs about Ralph B Fairchild

What is the unique 10-digit identification code issued to Ralph B Fairchild by the Centers for Medicare & Medicaid Services?

The Ralph B Fairchild has been assigned the NPI (National Provider Identifier) 1285694141 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Ralph B Fairchild's facilities are situated?

The facilities of Ralph B Fairchild are physically located at the following address: 2400 Pine Ridge Blvd, Wausau, WI, 544017803.

What is Ralph B Fairchild's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ralph B Fairchild is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.

On what date did the Ralph B Fairchild receive the assignment of its 1285694141 from the Centers for Medicare & Medicaid Services?

The Ralph B Fairchild was issued its 1285694141 by the Centers for Medicare & Medicaid Services on 2006-03-24.

As of what date was the information pertaining to Ralph B Fairchild, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ralph B Fairchild, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-04-27.

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