Dr Jack Michael Fiedler, DDS is a
Dentist - General Practice based in Hector, Minnesota. Dr Jack Michael Fiedler is licensed to practice in Minnesota (license number D12373) and his current practice location is
149 Main Street S, Box 547, Hector, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 848-2611.
NPI number for Dr Jack Michael Fiedler is 1720140437 and his current mailing address is 149 Main Street S, Box 547, Hector, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720140437.
Healthcare Provider's Profile
| Full Name | Dr Jack Michael Fiedler |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 149 Main Street S, Hector, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720140437
- Provider Enumeration Date: 12/16/2006
- Last Update Date: 08/30/2013
Medical Identifiers
Medical identifiers for Dr Jack Michael Fiedler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720140437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D12373 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Michael Fiedler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jack Michael Fiedler, DDS
149 Main Street S, Box 547,
Hector, MN 55342
Ph: (320) 848-2611 | Dr Jack Michael Fiedler, DDS
149 Main Street S, Box 547,
Hector, MN 55342
Ph: (320) 848-2611 |
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