IndividualActive
Alyssa Fedorko, MD/PHD
NPI 1811516511 · Physical Medicine & Rehabilitation Physician · Greenville, MI
Provider details
- NPI number
- 1811516511
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD/PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301512074 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
707 S Greenville West Dr
Greenville, MI 48838-3514
Phone: (616) 754-3001
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.