IndividualActive
Raymond Fedderly, MD
NPI 1790736619 · Pediatric Cardiology Physician · Milwaukee, WI
Provider details
- NPI number
- 1790736619
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 32186 (WI)
Practice location
9000 W Wisconsin Ave
Pediatric Cardiology
Milwaukee, WI 53226-4874
Phone: (414) 266-2380
Fax: (414) 266-2294
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2024-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.