| Krisell D. Fedrizzi, D.o. | |
|
325 N Main St Ste 206 Springboro OH 45066-8005 | |
| (937) 949-4713 | |
| (855) 460-5802 |
| Full Name | Krisell D. Fedrizzi, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 325 N Main St Ste 206, Springboro, Ohio |
| Authorized Official Name and Position | Krisell D Fedrizzi (OWNER) |
| Authorized Official Contact | 9379749716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krisell D. Fedrizzi, D.o. 325 N Main St Ste 206 Springboro OH 45066-8005 Ph: (937) 949-4713 | Krisell D. Fedrizzi, D.o. 325 N Main St Ste 206 Springboro OH 45066-8005 Ph: (937) 949-4713 |
| NPI Number | 1467064865 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 7517378920 |
|---|---|
| Medicare Enrollment ID | O20201116001088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467064865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Krisell D Fedrizzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497757736 PECOS PAC ID: 4880622794 Enrollment ID: I20050802000226 |
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