Individual
DR. MICHAEL J. FEDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12301 SNOW RD, PARMA, OH 44130-1002
(216) 524-7377
(216) 362-2745
Mailing address
1001 LAKESIDE AVE E, #1200, CLEVELAND, OH 44114-1158
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-053962
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0635227
—
OH
Enumeration date
08/20/2006
Last updated
10/10/2013
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