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Contact Information

SUSAN FEDELE
6715 PARADISE PARK
SARANAC, MI48881-8785
 Phone: 616-402-0756
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mammography Radiologic Technologist

2471M2300X
Indicates primary specialty

NPI Profile & details for SUSAN FEDELE · (Female)

NPI Number 1184040156
Status Active
Credentials
Entity Individual
Enumeration date 03/13/2014
Last updated 03/13/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 221859
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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