Fernandez, Edward G

Fernandez, Edward G is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5777. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Fernandez, Edward G can be contacted via phone (715) 387-9620.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5777
Phone: (715) 387-9620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 37098 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 37098 Wisconsin

Profile Details

NPI number 1386744605
LBN Legal business name Fernandez, Edward G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386744605 NPPES
Wisconsin MEDICAID 32023000

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