SUSAN THERESE FEDEWA

JACKSON, MI
NPI1750336004
Other NameSUSAN THERESE TARTALONE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  5101010021)
Enumeration Date2006-05-24
Last Update Date2007-11-23
Business Address
-- SUSAN THERESE FEDEWA DO
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-788-4800
Mailing Address
-- SUSAN THERESE FEDEWA DO
DEPARTMENT 272801 PO BOX 67000
DETROIT, MI 48267-2728
Phone number: 517-841-6913
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