Federico, Domenic
Federico, Domenic is an individual health care provider with primary practice located at 3800 Lake Michigan Dr Nw , Grand Rapids MI 49534-4583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Federico, Domenic can be contacted via phone (616) 453-8225.Contact Information
Primary practice address
3800 Lake Michigan Dr Nw
Grand Rapids MI 49534-4583
Phone: (616) 453-8225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301034117 | Michigan |
Profile Details
| NPI number | 1699722710 |
|---|---|
| LBN Legal business name | Federico, Domenic |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Feb 4th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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