Individual
JOSHUA CLARENCE FEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5600 METROPOLITAN PKWY, STERLING HEIGHTS, MI 48310-4107
(586) 264-2100
(586) 264-1117
Mailing address
5600 METROPOLITAN PKWY, STERLING HEIGHTS, MI 48310-4107
(586) 264-2100
(586) 264-1117
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
JF009147
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4871621
—
MI
05
—
4873161
—
MI
01
—
950E018280
BCBS
MI
Enumeration date
10/17/2006
Last updated
07/09/2007
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