NPI 1184040156

Susan Fedele

Practitioner Mammography Radiologic Technologist Saranac, MI

Practice location

Address: 6715 Paradise Park, Saranac, MI 48881-8785
Phone: (616) 402-0756

Registered specialties

Mammography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471M2300X Licence 221859 (MI)

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Registry record

NPI: 1184040156
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2014
Record last updated: 13 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.