MEDICARE: DR. FRED LEE WEDEKING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	4301026782	MI

General Provider Information

NPI Number	:	1063847416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRED LEE WEDEKING MD

Provider Business Mailing Address
First Line	:	1034 CROWN ST
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49006-2102
Country	:	US
Telephone Number	:	269-381-3960
Fax Number	:	269-381-3960

Provider Business Practice Location Address
First Line	:	1034 CROWN ST
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49006-2102
Country	:	US
Telephone Number	:	269-381-3960
Fax Number	:	269-381-3960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2013
Last Update Date	:	12/02/2015

Similar Medicare Providers

1942513395 — RENATA CHRISTINE SEGOBIA CMT
Practice Location Address:

710 DAYTON AVE
KALAMAZOO, MI
49048-2102

Practice Phone: 269-806-4421
Practice Fax:

1861356487 — HELPINGHANDINDUSTRY, LLC
Practice Location Address:

1701 KNOLLWOOD AVE # M10
KALAMAZOO, MI
49006-6633

Practice Phone: 269-319-1521
Practice Fax:

1114881570 — JEANINNE BUTLER-SYTSEMA
Practice Location Address:

715 WESTBURY LN
KALAMAZOO, MI
49006-2628

Practice Phone: 269-213-1418
Practice Fax:

1114881323 — RENIYA FANCE
Practice Location Address:

4625 W KL AVE
KALAMAZOO, MI
49006-6209

Practice Phone: 574-387-4313
Practice Fax: 574-387-4313

1922960582 — SARA GALVAN
Practice Location Address:

4625 W KL AVE
KALAMAZOO, MI
49006-6209

Practice Phone: 574-387-4313
Practice Fax:

1700880200 — MR. JOSEPH WILLIAMS PA-C
Practice Location Address:

4613 W MAIN ST , STE. B
KALAMAZOO, MI
49006-2645

Practice Phone: 269-343-8800
Practice Fax: 269-343-9769

Directions to “ DR. FRED LEE WEDEKING MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.