Search › Michigan › 101YA0400X
Mariah Fedewa
NPI 1922728229 · on the registry since 2022
Practice
- Address
- 4902 S Cedar St
Lansing, MI 48910 - Phone
- (517) 394-7867
- Fax
- (517) 394-7869
- Organisation at this address
- Victory Clinical Services Lansing
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 156F00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan