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Individual

SUSAN FEDELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6715 PARADISE PARK, SARANAC, MI 48881-8785
(616) 402-0756
Mailing address
6715 PARADISE PARK, SARANAC, MI 48881-8785
(616) 402-0756

Taxonomy

Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
221859
MI

Other

Enumeration date
03/13/2014
Last updated
03/13/2014
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