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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMENIC FEDERICO, MD

Active

DOMENIC FEDERICO, MD is a Obstetrics & Gynecology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1699722710 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · GRAND RAPIDS, MI

Registration Details

NPI Number
1699722710
Provider Type
Individual
Gender
Male
NPI Issued
May 27, 2006 (20.034681103923 yrs)
Last Updated
Feb 4, 2011
License
4301034117 (MI)

Practice Information

Address
3800 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI, 495344583
Browse MI providers · Browse ZIP 49534
Phone
6164538225
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in GRAND RAPIDS, MI

Name Credential NPI
DR. PETER MARKS MD 1811991581
DR. ANDREA C WOLFE MD 1043214794
MICHELLE A KLYN MD 1235133992
JERRY WITTINGEN M.D 1477557031
CALVIN LEAZENBY M.D 1588668248
MICHELLE BACKUS-WALZER M.D. 1124011531
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.