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MR. RICHARD ROSLING FEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1300 MARKET ST, RM 404, WHEELING, WV 26003
(304) 232-6918
(304) 232-6918
Mailing address
1300 MARKET ST, RM 404, WHEELING, WV 26003
(304) 232-6918
(304) 232-6918

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12830
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0112299000
WV
Enumeration date
08/31/2006
Last updated
07/08/2007
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