Individual
DR. FEDON MAVROMATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4359 WAUSAU RD, OKEMOS, MI 48864-2768
(517) 349-4553
Mailing address
4359 WAUSAU RD, OKEMOS, MI 48864-2768
(517) 349-4553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301027985
MI
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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