Fedor, Peter D

Fedor, Peter D is an sole proprietor health care provider with primary practice located at 872 Munson Ave Suite B, Traverse City MI 49686-3638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fedor, Peter D can be contacted via phone (231) 947-1690.

Contact Information

Primary practice address
872 Munson Ave Suite B Traverse City MI 49686-3638
Phone: (231) 947-1690
Fax: (231) 947-1692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301061885 Michigan

Profile Details

NPI number 1821087560
LBN Legal business name Fedor, Peter D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2005
Last updated Mar 2nd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821087560 NPPES
Michigan MEDICAID 104609642
Michigan MEDICAID 104609633
Michigan MEDICAID 104609651
Michigan MEDICAID 104609660

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