Fidamar Medical Llp | |
451 W Milham Ave Portage MI 49024-2721 | |
(269) 254-8400 | |
(269) 254-8350 |
Full Name | Fidamar Medical Llp |
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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 |
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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 |
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Provider Enumeration Date | 02/26/2024 |
Last Update Date | 02/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497511588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
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