Individual
GREGORY FEDIRKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 N US HIGHWAY 31, PETOSKEY, MI 49770-9317
(231) 348-7510
Mailing address
1301 N US HIGHWAY 31, PETOSKEY, MI 49770-9317
(231) 348-7510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042638
MI
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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