DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THEODORE D. FIFER, M.D. FACS

Active Sole Proprietor

DR. THEODORE D. FIFER, M.D. FACS is a Plastic and Reconstructive Surgery healthcare provider located in EFFINGHAM, Illinois. NPI 1508034596 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · EFFINGHAM, IL

Registration Details

NPI Number
1508034596
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2008 (18.459640713064 yrs)
Last Updated
Dec 12, 2012
Licenses
036084136 (IL)
036084136 (IL)
Sole Proprietor
Yes

Practice Information

Address
14900 N COURT 9
EFFINGHAM, IL, 624017640
Browse IL providers · Browse ZIP 62401
Phone
2179946162
Fax
2173427094
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in EFFINGHAM, IL

Name Credential NPI
KEVIN A CALDER MD 1770831323
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.