Bradley Jay Fedderly, MD
Bradley Jay Fedderly, MD is a Family Medicine Physician in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2845 Greenbrier RdGreen Bay, WI 54311-6519
Phone: (920) 288-8100
Fax: (414) 762-4225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Hospitalist Physician (primary) | Taxonomy 208M00000X · Licence 30118 (WI) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 30118-20 (WI) |
Record details
| NPI number | 1013926682 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 5, 2006 |
| Last updated in NPPES | June 26, 2019 |
| Mailing address | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 |
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