Wiacheslaw William Fedoriw in Fort Wayne - Pediatrics
Wiacheslaw William Fedoriw - NPI 1548349871
Wiacheslaw William Fedoriw is a Pediatrics in Fort Wayne, Indiana. Wiacheslaw William Fedoriw practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Wiacheslaw William Fedoriw is 1548349871. The last update date is 2016-06-09.
Wiacheslaw William Fedoriw's current location address is 3030 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604224096 and fax number 2604242551. The mailing address for Wiacheslaw William Fedoriw is 3030 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wiacheslaw William Fedoriw |
|---|---|
| Address | 3030 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604224096 |
| Fax Number | 2604242551 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1548349871 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2016-06-09 |
Provider Mailing Address Detail
| Address | 3030 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055428 |
| Phone Number | 2604224096 |
| Fax Number | 2604242551 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 10137509 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10013063A | IN | -- | |
| 10013063 | IN | -- |
Post Comment/ Review Below
What is the Wiacheslaw William Fedoriw's unique identification number?
The Wiacheslaw William Fedoriw has been assigned the NPI (National Provider Identifier) Number 1548349871 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Wiacheslaw William Fedoriw?
The Wiacheslaw William Fedoriw is physically situated at 3030 Lake Ave, in the city of Fort Wayne, state of IN, with the postal code 468055428.
What is Wiacheslaw William Fedoriw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wiacheslaw William Fedoriw is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548349871 to Wiacheslaw William Fedoriw?
The Wiacheslaw William Fedoriw received its 1548349871 assignment from the Centers for Medicare & Medicaid Services on 2006-11-06.
As of what date were the details pertaining to Wiacheslaw William Fedoriw last refreshed?
The information related to the Wiacheslaw William Fedoriw, including its address, specialty, and other relevant details, was last updated on 2016-06-09.