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Fenton Late Hours Clinic
Clinic/Center in Fenton, Michigan
NPI 1619131646

Fenton Late Hours Clinic is a Clinic/Center based in Fenton, MI. Fenton Late Hours Clinic practices in Fenton, MI. The NPI Number for Fenton Late Hours Clinic is 1619131646 and holds a License No. 4301051746 (Michigan).

The current practice location address for Fenton Late Hours Clinic is 102 N Adelaide St, Fenton, MI and can be reached out via phone at 810-629-7511 and via fax at 810-629-6535.

Location: 102 N Adelaide St, Fenton, MI, 48430-2670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619131646
Provider Name
Fenton Late Hours Clinic
Credential
Provider Entity Type
Organization
Address
102 N Adelaide St, Fenton, MI, 48430-2670
Phone Number
810-629-7511
Fax Number
810-629-6535
Provider Enumeration Date
07/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
700B512020 01 MI BLUE CARE NETWORK ID
institution
Provider Business Practice Location Address Details
Address
102 N Adelaide St
City
Fenton
State
Michigan
Zip
48430-2670
Phone Number
810-629-7511
Fax Number
810-629-6535
person
Provider Business Mailing Address Details
Address
102 N Adelaide St
City
Fenton
State
Michigan
Zip
48430-2670
Phone Number
810-629-7511
Fax Number
810-629-6535
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4301051746 (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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