SearchMichigan207V00000X

Domenic Federico, MD

NPI 1699722710 · on the registry since 2006

Practice

Address
3800 Lake Michigan Dr Nw
Grand Rapids, MI 49534
Phone
(616) 453-8225
Organisation at this address
Michigan Medical, Pc.
Michigan Medical Patient Care
Michigan Medical Patient Care
Spectrum Health Primary Care Partners
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-02-04

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