institution
Fenton Family Medicine, P.c.
Primary Care Clinic/Center in Fenton, Michigan
NPI 1720198039

Fenton Family Medicine, P.c. is a Primary Care Clinic/Center based in Fenton, MI and is specialized in Primary Care. Fenton Family Medicine, P.c. practices in Fenton, MI. The NPI Number for Fenton Family Medicine, P.c. is 1720198039 and holds a License No. KS051250 (Michigan).

The current practice location address for Fenton Family Medicine, P.c. is 445 N Fenway Dr, Fenton, MI and can be reached out via phone at 810-750-6060 and via fax at 810-750-6081.

Location: 445 N Fenway Dr, Fenton, MI, 48430-2666
institution
Provider Profile Details
NPI Number
1720198039
Provider Name
Fenton Family Medicine, P.c.
Credential
Provider Entity Type
Organization
Address
445 N Fenway Dr, Fenton, MI, 48430-2666
Phone Number
810-750-6060
Fax Number
810-750-6081
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080B56203 01 MI BCBS
2509644012 01 MI HEALTH PLUS
C3137 01 MI MCARE
2787144 05 MI
0B56203 01 MI BLUE CARE NETWORK
E77396 01 MI HAP
institution
Provider Business Practice Location Address Details
Address
445 N Fenway Dr
City
State
Zip
48430-2666
Phone Number
810-750-6060
Fax Number
810-750-6081
person
Provider Business Mailing Address Details
Address
445 N Fenway Dr
City
State
Zip
48430-2666
Phone Number
810-750-6060
Fax Number
810-750-6081
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
KS051250 (Michigan)
Definition
Definition to come...
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