Organization
MICHAEL S FEDOTIN & B WILLIAM GINSBERG PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA E FIEDLER (OFFICE MANAGER)
(816) 333-5424
Entity
Organization
Contact information
Practice address
2330 E MEYER BLVD, SUITE 301, KANSAS CITY, MO 64132-1132
(816) 333-5424
(816) 822-0870
Mailing address
2330 E MEYER BLVD, SUITE 301, KANSAS CITY, MO 64132-1132
(816) 333-5424
(816) 822-0870
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509749701
—
MO
01
—
CP9085
RR MEDICARE
—
Enumeration date
04/12/2006
Last updated
04/23/2018
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