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Fenkell Medical Clinic Llc
Clinic/Center in Detroit, Michigan
NPI 1104069301

Fenkell Medical Clinic Llc is a Clinic/Center based in Farmington Hills, MI. Fenkell Medical Clinic Llc practices in Detroit, MI. The NPI Number for Fenkell Medical Clinic Llc is 1104069301 and holds a License No. 4301045264 (Michigan).

The current practice location address for Fenkell Medical Clinic Llc is 10101 Fenkell St, Detroit, MI and can be reached out via phone at 810-423-2308.

Location: 10101 Fenkell St, Detroit, MI, 48334-3758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104069301
Provider Name
Fenkell Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
10101 Fenkell St, Detroit, MI, 48334-3758
Phone Number
810-423-2308
Fax Number
Provider Enumeration Date
04/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1867240 10 05 MI
OP24500 01 MI MEDICARE UNSP
institution
Provider Business Practice Location Address Details
Address
10101 Fenkell St
City
Detroit
State
Michigan
Zip
48238-1645
Phone Number
810-423-2308
Fax Number
person
Provider Business Mailing Address Details
Address
10101 Fenkell St
City
Detroit
State
Michigan
Zip
48238-1645
Phone Number
810-423-2308
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4301045264 (Michigan)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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