Individual
PETER D FEDOR
Active
Individual
PETER D FEDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301061885
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104609633
—
MI
05
—
104609642
—
MI
05
—
104609651
—
MI
05
—
104609660
—
MI
Enumeration date
10/16/2005
Last updated
03/02/2015
Update your record
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