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Individual

DR. MARK STEPHEN FEDDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6810 STATE ROUTE 162, SUITE 211, MARYVILLE, IL 62062-8501
(618) 288-0346
(618) 288-0349
Mailing address
6810 STATE ROUTE 162, SUITE 211, MARYVILLE, IL 62062-8501
(618) 288-0346
(618) 288-0349

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036-067702
IL

Other

Enumeration date
08/02/2005
Last updated
12/29/2020
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