Individual
FEDERICO MARIONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44405 WOODWARD AVE, ROOM 571, PONTIAC, MI 48341-5023
(248) 858-6762
(248) 858-3761
Mailing address
44405 WOODWARD AVE, ROOM 571, PONTIAC, MI 48341-5023
(248) 858-6762
(248) 828-3761
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301031507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4426141
—
MI
Enumeration date
01/27/2006
Last updated
07/08/2007
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