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1699722710
DOMENIC FEDERICO
GRAND RAPIDS, MI
NPI
1699722710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 4301034117)
Enumeration Date
2006-05-27
Last Update Date
2011-02-04
Business Address
-- DOMENIC FEDERICO MD
3800 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534-4583
Phone number: 616-453-8225
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Mailing Address
-- DOMENIC FEDERICO MD
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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