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NPI Code Detail

MEDICARE: JOHN PAUL FIEDOR M.D.

MEDICARE: JOHN PAUL FIEDOR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician01025621AIN

General Provider Information

NPI Number : 1326013301
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PAUL FIEDOR M.D.
Provider Business Mailing Address
First Line : 2905 STRAIGHTLINE PIKE
Second Line :
City : RICHMOND
State : IN
Zip : 47374-7233
Country : US
Telephone Number : 765-962-8077
Fax Number : 765-939-3128
Provider Business Practice Location Address
First Line : 2021 CHESTER BLVD
Second Line : REID REHABILITATION CENTER
City : RICHMOND
State : IN
Zip : 47374-1235
Country : US
Telephone Number : 765-939-7000
Fax Number : 765-827-7972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 07/09/2007

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