IndividualActive
Brian Fedeson, MD
NPI 1992723217 · Vascular & Interventional Radiology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1992723217
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301406955 (MI)
Practice location
3264 N Evergreen Dr Ne
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 363-7290
Mailing address
3264 N Evergreen Dr Ne
Grand Rapids, MI 49525-9746
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2009-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.