| Fenton Late Hours Clinic | |
|
102 N Adelaide St Fenton MI 48430-2670 | |
| (810) 629-7511 | |
| (810) 629-6535 |
| Full Name | Fenton Late Hours Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 102 N Adelaide St, Fenton, Michigan |
| Authorized Official Name and Position | Deborah L Duncan (PHYSICIAN/CO OWNER) |
| Authorized Official Contact | 8106297511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenton Late Hours Clinic 102 N Adelaide St Fenton MI 48430-2670 Ph: (810) 629-7511 | Fenton Late Hours Clinic 102 N Adelaide St Fenton MI 48430-2670 Ph: (810) 629-7511 |
| NPI Number | 1619131646 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 07/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619131646 | NPI | - | NPPES |
| 700B512020 | Other | MI | BLUE CARE NETWORK ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301051746 (Michigan) | Primary |
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