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Individual

IVY L FEDEWA

Active
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Individual

IVY L FEDEWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501018286
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5501018286
MI
Enumeration date
12/18/2018
Last updated
10/31/2025
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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