| Dale P Fanney, MD | |
|
160 Valley Dr, Lodi, WI 53555-1464 | |
| (608) 592-3296 | |
| Not Available |
| Full Name | Dale P Fanney |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 160 Valley Dr, Lodi, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508831413 | NPI | - | NPPES |
| 080051114 | Other | WI | RAILROAD MEDICARE |
| 30344600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23420 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dale P Fanney, MD 160 Valley Dr, Lodi, WI 53555-1464 Ph: (608) 592-3296 | Dale P Fanney, MD 160 Valley Dr, Lodi, WI 53555-1464 Ph: (608) 592-3296 |
Dr. Melissa Faubert, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Valley Dr, Lodi, WI 53555 Phone: 608-592-3296 | |
Rian J Podein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Valley Drive, Lodi, WI 53555 Phone: 608-592-3296 | |
Dr. David P Krey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Valley Dr, Lodi, WI 53555 Phone: 608-592-3296 | |
Thomas P Sullivan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 160 Valley Dr, Lodi, WI 53555 Phone: 608-592-3296 |