Randi J Niedfeldt in Milwaukee - Physician Assistant
Randi J Niedfeldt - NPI 1467406421
Randi J Niedfeldt is a Physician Assistant in Milwaukee, Wisconsin. Randi J Niedfeldt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randi J Niedfeldt is 1467406421. The last update date is 2013-11-04.
Randi J Niedfeldt's current location address is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148056450 and fax number 4148056464. The mailing address for Randi J Niedfeldt is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randi J Niedfeldt |
|---|---|
| Address | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4148056450 |
| Fax Number | 4148056464 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1467406421 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2013-11-04 |
Provider Mailing Address Detail
| Address | 9200 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532263522 |
| Phone Number | 4148056450 |
| Fax Number | 4148056464 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 192 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 009006261G | HUMANA | ||
| 1467406421 | WI | -- |
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What is the Randi J Niedfeldt's 1467406421?
The Randi J Niedfeldt's NPI (National Provider Identifier) Number is 1467406421. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Randi J Niedfeldt located?
The Randi J Niedfeldt is located at 9200 W Wisconsin Ave, Milwaukee, WI 532263522.
What is the Randi J Niedfeldt's specialty and taxonomy code?
The Randi J Niedfeldt's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Randi J Niedfeldt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randi J Niedfeldt is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the information pertaining to Randi J Niedfeldt most recently updated or revised?
The details related to Randi J Niedfeldt, including its address, specialty, and other relevant information, were last updated or revised on 2013-11-04.
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