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NPI Code Detail

MEDICARE: DR. SUSAN M FEDINEC DO

MEDICARE: DR. SUSAN M FEDINEC DO
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
1207Q00000XFamily Medicine Physician036098573IL

General Provider Information

NPI Number : 1770549958
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN M FEDINEC DO
Provider Business Mailing Address
First Line : 1 CALIFORNIA ST STE 2300
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-5424
Country : US
Telephone Number : 800-997-6196
Fax Number : 415-504-1367
Provider Business Practice Location Address
First Line : 1 CALIFORNIA ST STE 2300
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-5424
Country : US
Telephone Number : 800-997-6196
Fax Number : 415-504-1367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 12/20/2023

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Directions to “ DR. SUSAN M FEDINEC DO” Practice Location

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