| Fidamar Medical Llp | |
|
451 W Milham Ave Portage MI 49024-2721 | |
| (269) 254-8400 | |
| (269) 254-8350 |
| Full Name | Fidamar Medical Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 451 W Milham Ave, Portage, Michigan |
| Authorized Official Name and Position | Faidherbe Ceus (OWNER) |
| Authorized Official Contact | 8456233120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fidamar Medical Llp 451 W Milham Ave Portage MI 49024-2721 Ph: () - | Fidamar Medical Llp 451 W Milham Ave Portage MI 49024-2721 Ph: (269) 254-8400 |
| NPI Number | 1497511588 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497511588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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