Individual
ROBERT EDWARD FEDCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1220 N MAPLE RD, ANN ARBOR, MI 48103-2842
(734) 662-9958
Mailing address
1220 N MAPLE RD, ANN ARBOR, MI 48103-2842
(734) 662-9958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012485
MI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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