Individual
MICHELLE COLEEN FEDORUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 E 6TH ST, ROYAL OAK, MI 48067-2909
(586) 918-6561
Mailing address
1226 E 6TH ST, ROYAL OAK, MI 48067-2909
(586) 918-6561
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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