Individual
ARLENE M FEDORCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4825 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4325
(614) 451-9612
(614) 451-2009
Mailing address
4825 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4325
(614) 451-9612
(614) 451-2009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.059885
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0786636
—
OH
Enumeration date
06/11/2007
Last updated
10/29/2019
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