Individual
ALEXIS WAGMAN FEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1385 E 12 MILE RD STE 100, MADISON HEIGHTS, MI 48071
(248) 399-6090
(248) 399-5282
Mailing address
1385 E 12 MILE RD STE 100, MADISON HEIGHTS, MI 48071-2618
(248) 399-6090
(248) 399-5282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101016164
MI
207R00000X
Internal Medicine Physician
OS10098
FL
Other
Enumeration date
08/22/2007
Last updated
06/27/2019
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