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1548349871
WIACHESLAW WILLIAM FEDORIW
FORT WAYNE, IN
NPI
1548349871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IN 10137509)
Enumeration Date
2006-11-06
Last Update Date
2016-06-09
Business Address
Dr. WIACHESLAW WILLIAM FEDORIW MD
2710 LAKE AVE
FORT WAYNE, IN 46805-5412
Phone number: 260-373-8070
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Mailing Address
Dr. WIACHESLAW WILLIAM FEDORIW MD
3030 LAKE AVE #25A
FORT WAYNE, IN 46805-5428
Phone number: 260-422-4096
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