Provider Demographics
NPI:1942230883
Name:FIEDLER, MICHAEL ALLEN (PHD, CRNA)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALLEN
Last Name:FIEDLER
Suffix:
Gender:M
Credentials:PHD, CRNA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:8221 WYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3375
Mailing Address - Country:US
Mailing Address - Phone:205-533-1302
Mailing Address - Fax:800-750-9947
Practice Address - Street 1:2901 2ND AVE S
Practice Address - Street 2:STE 270
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2900
Practice Address - Country:US
Practice Address - Phone:205-939-7143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-064654367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered