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Individual
DR. CARL JOHN FEDYSZYN
Active
Individual
DR. CARL JOHN FEDYSZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37093
AZ
207Q00000X
Family Medicine Physician
Primary
7326
ND
207Q00000X
Family Medicine Physician
M-9986
ID
207Q00000X
Family Medicine Physician
MD00048363
WA
Other
Enumeration date
02/04/2009
Last updated
12/03/2012
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