Dr. Wiacheslaw William Fedoriw
MD | Pediatrics | Male
Dr. Wiacheslaw William Fedoriw, MD is a Fort Wayne, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Wiacheslaw William Fedoriw is
2710 Lake Ave, Fort Wayne, Indiana - 46805-5412. He can be contacted on phone at
260-373-8070 and fax number 260-373-8071.
Dr. Wiacheslaw William Fedoriw is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Wiacheslaw William Fedoriw is
1548349871 which was assigned by NPPES on 06 Nov, 2006 and it was last updated on 09 Jun, 2016.
Dr. Wiacheslaw William Fedoriw license number is
10137509 for Pediatrics (208000000X) in Indiana.
Dr. Wiacheslaw William Fedoriw is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Wiacheslaw William Fedoriw basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Wiacheslaw William Fedoriw |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Wiacheslaw William Fedoriw address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2710 Lake Ave
Fort Wayne, IN, 46805-5412
United States |
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| Phone Number : | 260-373-8070 |
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| Fax Number : | 260-373-8071 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1548349871 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Nov, 2006 |
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| Last Updated On : | 09 Jun, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Wiacheslaw William Fedoriw are as mentioned. Primary taxonomy code for Dr. Wiacheslaw William Fedoriw, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 10137509 | IN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Wiacheslaw William Fedoriw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 10013063 | MEDICAID | IN | |
| 10013063A | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3030 Lake Ave, #25a
Fort Wayne, IN, 46805-5428
United States |
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| Phone Number : | 260-422-4096 |
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| Fax Number : | 260-424-2551 |
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Business Location:
Patients can refer following map for directions to
Dr. Wiacheslaw William Fedoriw practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.