Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN FEDELE
Active Sole Proprietor2471M2300X · SARANAC, MI
Registration Details
- NPI Number
- 1184040156
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2014 (12.160738960284 yrs)
- Last Updated
- Mar 13, 2014
- License
-
221859 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6715 PARADISE PARKSARANAC, MI, 488818785Browse MI providers · Browse ZIP 48881
- Phone
- 6164020756
- Primary Specialty
-
2471M2300X
2471M2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.