Fidamar Medical LLP

NPI #1497511588 in Portage, Michigan

Provider Information

NPI Number: 1497511588
Entity Type: Organization
Organization Name: Fidamar Medical LLP
Primary Specialty: Internal Medicine
Enumeration Date: Feb 26, 2024
Last Updated: Feb 26, 2024

Practice Location

Address: 451 W MILHAM AVE
City: Portage
State: Michigan
ZIP Code: 49024-2721
Phone: (269) 254-8400

Authorized Official

Name: FAIDHERBE CEUS
Title: OWNER
Phone: (845) 623-3120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Internal Medicine	207R00000X	Primary

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