Organization
MARK FEDDER, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEPHEN FEDDER MD (OWNER/PRESIDENT)
(618) 288-0346
Entity
Organization
Contact information
Practice address
6810 STATE ROUTE 162, SUITE 211, MARYVILLE, IL 62062-8501
(618) 288-0346
(618) 288-0349
Mailing address
6810 STATE ROUTE 162, SUITE 211, MARYVILLE, IL 62062-8501
(618) 288-0346
(618) 288-0349
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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