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Date: 14 August 2004 / 14 August 2004
Heats
Final
| Rank | Name | Nation | Time |
| 1 | Michael Phelps | USA | 4:08.26 |
| 2 | Erik Vendt | USA | 4:11.81 |
| 3 | Laszlo Cseh | HUN | 4:12.15 |
| 4 | Alessio Boggiatto | ITA | 4:12.28 |
| 5 | Oussama Mellouli | TUN | 4:14.49 |
| 6 | Ioannis Kokkodis | GRE | 4:18.60 |
| 7 | Jiro Miki | JPN | 4:19.97 |
| 8 | Travis Nederpelt | AUS | 4:20.08 |
| Heats | |||
| 9 | Ioannis Drymonakos | GRE | 4:16.83 |
| 10 | Luca Marin | ITA | 4:16.85 |
| 11 | Justin Norris | AUS | 4:16.90 |
| 12 | Robin Francis | GBR | 4:18.34 |
| 13 | Dean Kent | NZL | 4:18.55 |
| 14 | Wu Peng | CHN | 4:19.32 |
| 15 | Brian Johns | CAN | 4:21.10 |
| 16 | Keith Beavers | CAN | 4:21.47 |
| 17 | Thiago Pereira | BRA | 4:22.06 |
| 18 | Susumu Tabuchi | JPN | 4:22.46 |
| 19 | Lucas Salatta | BRA | 4:23.01 |
| 20 | Kim Bang-Hyun | KOR | 4:23.05 |
| 21 | Igor Berezutskiy | RUS | 4:23.20 |
| 22 | Jeremy Knowles | BAH | 4:23.29 |
| 23 | Adrian Turner | GBR | 4:23.53 |
| 24 | Alexey Kovrigin | RUS | 4:23.77 |
| 25 | Bradley Ally | BAR | 4:24.70 |
| 26 | Dmytro Nazarenko | UKR | 4:26.15 |
| 27 | Vytautas Janusaitis | LTU | 4:26.30 |
| 28 | Liu Weijia | CHN | 4:27.02 |
| 29 | Yves Platel | SUI | 4:28.94 |
| 30 | Guntars Deicmans | LAT | 4:29.17 |
| 31 | Marko Milenkovic | SLO | 4:30.99 |
| 32 | Sasa Impric | CRO | 4:32.02 |
| 33 | Andrew Mackay | CAY | 4:32.38 |
| 34 | Miguel Molina | PHI | 4:33.25 |
| 35 | Lin Yu-An | TPE | 4:41.76 |
| 36 | Nikita Polyakov | UZB | 5:09.66 |