Individual
MICHAEL AUGUSTINE FEDIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-5744
(214) 648-2733
(214) 648-9207
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-2733
(214) 648-9207
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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