IVY L FEDEWA

BIG RAPIDS, MI
NPI1467924258
Former NameIVY L THURSTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MI  5501018286)
Enumeration Date2018-12-18
Last Update Date2025-10-31
Business Address
IVY L FEDEWA
203 S STATE ST
BIG RAPIDS, MI 49307-1758
Phone number: 231-629-8665
Mailing Address
IVY L FEDEWA
203 S STATE ST
BIG RAPIDS, MI 49307-1758
Phone number:
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