Fred Lee Wedeking MD

NPI 1063847416 - Emergency Medicine - 207P00000X

NPI Details
NPI 1063847416
Gender Male
Enumeration Date 09/04/2013
Last Updated 12/02/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
1034 CROWN ST
KALAMAZOO MI, 49006-2102, US
Phone (269) 381-3960
Fax (269) 381-3960
Business Location
1034 CROWN ST
KALAMAZOO MI, 49006-2102, US
Phone (269) 381-3960
Fax (269) 381-3960
Toxanomy
Taxonomy Code 207P00000X
License State Michigan
License Number 4301026782
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According to our database, Dr. Fred Lee Wedeking MD NPI is 1063847416, taxonomy code is 207P00000X and license number is 4301026782, license state is located at Michigan. Fred Lee Wedeking MD physically located at 1034 Crown St, Kalamazoo MI, 49006-2102. NPI Number Fred Lee Wedeking MD has the Individual type.

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1063847416 NPI number is provided on an as is basis without warranty of any kind. 1063847416 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Lee Wedeking MD are for informational purposes only.