Fedderly, Raymond T

Fedderly, Raymond T is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Cardiology, Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Fedderly, Raymond T can be contacted via phone (414) 266-2380.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Cardiology Milwaukee WI 53226-4874
Phone: (414) 266-2380
Fax: (414) 266-2294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 32186 Wisconsin

Profile Details

NPI number 1790736619
LBN Legal business name Fedderly, Raymond T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 1st, 2024 - about 6 months 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 1790736619 NPPES
Other 002000115T HUMANA
MEDICAID 1790736619 HUMANA

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