Fiedler, Andrew J

Fiedler, Andrew J is an individual health care provider with primary practice located at 610 N Michigan St Ste 400, South Bend IN 46601-1077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fiedler, Andrew J can be contacted via phone (574) 647-8120.

Contact Information

Primary practice address
610 N Michigan St Ste 400 South Bend IN 46601-1077
Fax: (574) 647-8111
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01043726A Indiana

Profile Details

NPI number 1487651758
LBN Legal business name Fiedler, Andrew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 1st, 2023 - about 3 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 1487651758 NPPES
Indiana MEDICAID 200046990

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