Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Frederick T Fedorowicz, PA-C

Individual provider Physician Assistant · NPI 1306918990

Mr. Frederick T Fedorowicz, PA-C is a Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

600 E Lafayette Blvd J426
Detroit, MI 48226-2927
Phone: (313) 225-8173
Fax: (313) 225-0956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601001212 (MI)

Record details

NPI number1306918990
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 8, 2007

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