Gerald Lee Fedelem D.D.S.

NPI 1053363978 - Dentist - 1223G0001X

NPI Details
NPI 1053363978
Gender Male
Enumeration Date 05/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
663 E MAIN ST
FREMONT MI, 49412-9708, US
Phone (231) 924-0790
Fax
Business Location
4410 DELAWARE RD
FREMONT MI, 49412-9755, US
Phone (231) 924-5454
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901009935
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According to our database, Dr. Gerald Lee Fedelem D.D.S. NPI is 1053363978, taxonomy code is 1223G0001X and license number is 2901009935, license state is located at Michigan. Gerald Lee Fedelem D.D.S. physically located at 663 E Main St, Fremont MI, 49412-9708. NPI Number Gerald Lee Fedelem D.D.S. has the Individual type.

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1053363978 NPI number is provided on an as is basis without warranty of any kind. 1053363978 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Lee Fedelem D.D.S. are for informational purposes only.