Fudala, Stanley
Fudala, Stanley is an individual health care provider with primary practice located at 500 Mcmillen Street , Fort Atkinson WI 53538-1263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fudala, Stanley can be contacted via phone (950) 563-5571.Contact Information
Primary practice address
500 Mcmillen Street
Fort Atkinson WI 53538-1263
Phone: (950) 563-5571
Fax: (920) 563-4228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 41002-20 | Wisconsin |
Profile Details
| NPI number | 1356317184 |
|---|---|
| LBN Legal business name | Fudala, Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356317184 | NPPES |
| Wisconsin | MEDICAID | 34449000 |
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