Individual
DR. JEFFREY STEVEN FEDORKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4774 MUNSON ST NW, #302, CANTON, OH 44718-3634
(330) 494-0422
(330) 494-3601
Mailing address
4774 MUNSON ST NW, #302, CANTON, OH 44718-3634
(330) 494-0422
(330) 494-3601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
645289
—
OH
Enumeration date
09/15/2006
Last updated
07/08/2007
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