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Ralph B Fairchild III, MD
Vascular Surgery Physician in Wausau, Wisconsin
NPI 1285694141

Ralph B Fairchild III is a Vascular Surgery Physician based in Wausau, WI and is specialized in Vascular Surgery. Ralph B Fairchild III practices in Wausau, WI and has the professional credentials of MD. The NPI Number for Ralph B Fairchild III is 1285694141 and holds a License No. 51703 (Wisconsin).

The current practice location address for Ralph B Fairchild III is 2400 Pine Ridge Blvd, Wausau, WI and can be reached out via phone at 715-847-2022.

Location: 2400 Pine Ridge Blvd, Wausau, WI, 54401-7803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285694141
Provider Name
Ralph B Fairchild III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2400 Pine Ridge Blvd, Wausau, WI, 54401-7803
Phone Number
715-847-2022
Fax Number
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34003000 05 WI
K400235515 01 WI MEDICARE
institution
Provider Business Practice Location Address Details
Address
2400 Pine Ridge Blvd
City
Wausau
State
Wisconsin
Zip
54401-7803
Phone Number
715-847-2022
Fax Number
person
Provider Business Mailing Address Details
Address
2400 Pine Ridge Blvd
City
Wausau
State
Wisconsin
Zip
54401-7803
Phone Number
715-847-2022
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
51703 (Minnesota)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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