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Individual

MICHAEL AUGUSTINE FEDIW

Active
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Individual

MICHAEL AUGUSTINE FEDIW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301114958
MI
208100000X
Physical Medicine & Rehabilitation Physician
94-08473
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
S2578
TX

Other

Enumeration date
06/19/2014
Last updated
10/16/2019
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