DOMENIC FEDERICO

GRAND RAPIDS, MI
NPI1699722710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MI  4301034117)
Enumeration Date2006-05-27
Last Update Date2011-02-04
Business Address
-- DOMENIC FEDERICO MD
3800 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534-4583
Phone number: 616-453-8225
Mailing Address
-- DOMENIC FEDERICO MD
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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