Ralph B Fairchild III
Surgeon Vascular Surgeon Surgical Critical Care and 3 more
2400 Pine Ridge Blvd
Wausau
, Wisconsin 54401-7803
Ralph B Fairchild III
Surgeon Vascular Surgeon Surgical Critical Care and 3 more
2400 Pine Ridge Blvd
Wausau
, Wisconsin 54401-7803
(715) 847-2022
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Ralph B Fairchild III
- 2400 Pine Ridge Blvd
- Wausau, WI
- Zip : 54401-7803
- Phone : (715) 847-2022
Second Address
- Ralph B Fairchild III
- 2400 Pine Ridge Blvd
- Wausau, WI
- Zip : 54401-7803
- Phone : (715) 847-2022
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FAQs
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Is Ralph B Fairchild III accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 42511-020 | WI |
| N | 208600000X | Surgeon | 42511-020 | WI |
| N | 208200000X | Surgeon | 51703 | MN |
| N | 208600000X | Surgeon | 51703 | MN |
| N | 208200000X | Surgeon | MD151165 | OR |
| N | 208600000X | Surgeon | MD151165 | OR |
| N | 2086S0102X | Surgical Critical Care | 51703 | MN |
| N | 2086S0102X | Surgical Critical Care | MD151165 | OR |
| Y | 2086S0129X | Vascular Surgeon | 42511 | WI |
| N | 2086S0129X | Vascular Surgeon | 51703 | MN |
National Provider Identifier
| NPI | 1285694141 |
|---|---|
| Provider Name | Ralph B Fairchild III |
| First Address | Wausau, WI 54401-7803 |
| Second Address | Wausau, WI 54401-7803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 03/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 34003000 | (05) | WI |
| B62078 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.