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Dr. Theodore D. Fifer, MDFACS
Plastic and Reconstructive Surgery Physician in Effingham, Illinois
NPI 1508034596

Theodore D. Fifer is a Plastic and Reconstructive Surgery Physician based in Effingham, IL and is specialized in Plastic and Reconstructive Surgery. Theodore D. Fifer practices in Effingham, IL and has the professional credentials of MDFACS. The NPI Number for Theodore D. Fifer is 1508034596 and holds a License No. 036084136 (Illinois).

The current practice location address for Theodore D. Fifer is 14900 N Court 9, Effingham, IL and can be reached out via phone at 217-994-6162 and via fax at 217-342-7094.

Location: 14900 N Court 9, Effingham, IL, 62401-7640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508034596
Provider Name
Theodore D. Fifer
Credential
MDFACS
Provider Entity Type
Individual
Gender
Male
Address
14900 N Court 9, Effingham, IL, 62401-7640
Phone Number
217-994-6162
Fax Number
217-342-7094
Provider Enumeration Date
02/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-084136 05 IL
025-00076 01 IL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
14900 N Court 9
City
Effingham
State
Illinois
Zip
62401-7640
Phone Number
217-994-6162
Fax Number
217-342-7094
person
Provider Business Mailing Address Details
Address
14900 N Court 9
City
Effingham
State
Illinois
Zip
62401-7640
Phone Number
217-994-6162
Fax Number
217-342-7094
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
036084136 (Illinois)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
036084136 (Illinois)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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