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1174514384
MICHAEL FEDAK
SAINT LOUIS, MO
NPI
1174514384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 36371)
Enumeration Date
2005-11-04
Last Update Date
2012-09-21
Business Address
-- MICHAEL FEDAK M.D.
13303 TESSON FERRY RD SUITE 150
SAINT LOUIS, MO 63128-4062
Phone number: 314-842-4744
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Mailing Address
-- MICHAEL FEDAK M.D.
PO BOX 23340
SAINT LOUIS, MO 63156-3340
Phone number: 314-842-4744
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