FREDERICK T FEDOROWICZ

DETROIT, MI
NPI1306918990
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601001212)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Mr. FREDERICK T FEDOROWICZ PA-C
600 E LAFAYETTE BLVD J426
DETROIT, MI 48226-2927
Phone number: 313-225-8173
Mailing Address
Mr. FREDERICK T FEDOROWICZ PA-C
21 W NOBLE AVE
MONROE, MI 48162-2740
Phone number: 734-243-4344
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