Individual
DR. MARTIN FEDKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6177
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6177
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
54102
MN
207P00000X
Emergency Medicine Physician
Primary
64551-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
08/20/2009
Last updated
02/21/2024
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