| NPI | 1336144047 |
|---|---|
| Other Name | LAURA M FIDDELKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10008675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD019816E) |
| 208D00000X General Practice (Licence: DE C10008675) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2011-12-27 |