| Ivy L Fedewa, | |
|
203 S State St, Big Rapids, MI 49307-1758 | |
| (231) 629-8665 | |
| Not Available |
| Full Name | Ivy L Fedewa |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 203 S State St, Big Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467924258 | NPI | - | NPPES |
| 5501018286 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5501018286 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy L Fedewa, 203 S State St, Big Rapids, MI 49307-1758 Ph: () - | Ivy L Fedewa, 203 S State St, Big Rapids, MI 49307-1758 Ph: (231) 629-8665 |
Dr. Girish Juneja, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 20095 Gilbert Rd, Big Rapids, MI 49307 Phone: 231-592-1360 | |
Dr. Roman Zolotoy, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 20095 Gilbert Rd Ste B, Big Rapids, MI 49307 Phone: 231-592-1360 Fax: 231-592-1361 |