Individual
DORLAN DUAN FEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APS003949
Contact information
Practice address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 203-9341
Mailing address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 203-9341
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
003949
OH
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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