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1134176357
YURI FEDORENKO
ROCKFORD, MI
NPI
1134176357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301068473)
Enumeration Date
2006-05-31
Last Update Date
2007-07-08
Business Address
-- YURI FEDORENKO MD
517 E DIVISION ST
ROCKFORD, MI 49341-1376
Phone number: 616-974-4884
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Mailing Address
-- YURI FEDORENKO MD
4085 BURTON ST SE S-200
GRAND RAPIDS, MI 49546-2444
Phone number:
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