Individual
DONALD CHARLES FEDRIGON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49506-2972
(616) 267-7333
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301514822
MI
Other
Enumeration date
02/21/2020
Last updated
09/02/2025
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