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Individual

DR. KALUB ALEXANDER FEDAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
560 W MITCHELL ST STE 185, PETOSKEY, MI 49770-2296
(231) 487-3390
(231) 487-3578
Mailing address
560 W MITCHELL ST STE 185, PETOSKEY, MI 49770-2296
(231) 487-3390
(314) 873-5782

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301104179
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301104179
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225353139
NPI
MI
Enumeration date
04/02/2010
Last updated
09/07/2023
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