Individual
DR. ALYSSA FEDORKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
707 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3514
(616) 754-3001
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301512074
MI
Other
Enumeration date
04/13/2020
Last updated
09/03/2024
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