| Doctor Name: | ALAN K FEDGE |
| NPI Number: | 1184620973 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17120 |
| Business Practice Address: | 1518 Mulberry Ave Muscatine, IA - 527613433 |
| Business Phone Number: | 5632649100 |
| Business Fax Number: | 5632649484 |
| Mailing Address: | 615 Valley View Dr, Suite 202 MOLINE |
| State: | IL |
| Postal Code: | 612656150 |
| Phone Number: | 3097621072 |
| Fax Number: | 3097621094 |
| NPI Enumeration Date: | 06/27/2005 |
| NPI Last Update Date: | 04/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 17120 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |