Fenton Medical Center

NPI 1134165632 - Physician Assistant - 363A00000X

NPI Details
NPI 1134165632
Enumeration Date 06/22/2006
Last Updated 04/14/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBORAH L DEBORAH
Position PHYSICIAN/OWNER
Phone (810) 629-2245
Fax (810) 629-6535
Practice Location
102 N ADELAIDE ST
FENTON MI, 48430-2670, US
Phone (810) 629-2245
Fax (810) 629-6535
Business Location
102 N ADELAIDE ST
FENTON MI, 48430-2670, US
Phone (810) 629-2245
Fax (810) 629-6535
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
Remove 1134165632 NPI Number
 

According to our database, Fenton Medical Center NPI is 1134165632, taxonomy code is 363A00000X Fenton Medical Center physically located at 102 N Adelaide St, Fenton MI, 48430-2670. NPI Number 1033115704 has the healthcare provider type.

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1134165632 NPI number is provided on an as is basis without warranty of any kind. 1134165632 is maintained by the National Plan & Provider Enumeration System. The contents of Fenton Medical Center are for informational purposes only.