| NPI | 1952388589 |
|---|---|
| Other Name | SALLY FIEDEWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036112879) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01030452A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 48585) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD421559) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2025-10-22 |