| Doctor Name: | DR. WIACHESLAW WILLIAM FEDORIW |
| NPI Number: | 1548349871 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10137509 |
| Business Practice Address: | 2710 Lake Ave Fort Wayne, IN - 468055412 |
| Business Phone Number: | 2603738070 |
| Business Fax Number: | 2603738071 |
| Mailing Address: | 3030 Lake Ave, #25a FORT WAYNE |
| State: | IN |
| Postal Code: | 468055428 |
| Phone Number: | 2604224096 |
| Fax Number: | 2604242551 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 10137509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |