Individual
DR. DIANA MARSHALL FEDEWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
719 VINE ST, WISCONSIN DELLS, WI 53965-1621
(608) 254-4731
(608) 253-9257
Mailing address
719 VINE ST, WISCONSIN DELLS, WI 53965-1621
(608) 254-4731
(608) 253-9257
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3058
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350037758
RAILROAD MEDICARE
WI
Enumeration date
05/21/2007
Last updated
03/15/2012
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