David Paul Fivenson in Ann Arbor - Clinical & Laboratory Dermatological Immunology
David Paul Fivenson - NPI 1235193525
David Paul Fivenson is a Clinical & Laboratory Dermatological Immunology in Ann Arbor, Michigan. David Paul Fivenson practices all healthcare services and medical treatments related to Clinical & Laboratory Dermatological Immunology. The NPI Number for David Paul Fivenson is 1235193525. The last update date is 2021-06-22.
David Paul Fivenson's current location address is 3200 W Liberty Rd Ste C5, Ann Arbor, Michigan. You can contact this provider via phone number 7342229630 and fax number 7342229631. The mailing address for David Paul Fivenson is 3200 W Liberty Rd Ste C5, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Paul Fivenson |
|---|---|
| Address | 3200 W Liberty Rd Ste C5, Ann Arbor, Michigan |
| Phone Number | 7342229630 |
| Fax Number | 7342229631 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235193525 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2021-06-22 |
Provider Mailing Address Detail
| Address | 3200 W Liberty Rd Ste C5 |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481039746 |
| Phone Number | 7342229630 |
| Fax Number | 7342229631 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical & Laboratory Dermatological Immunology |
|---|---|
| Taxonomy | 207Ni0002X |
| Licence No | 404817 |
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Definition: A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4425476 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David Paul Fivenson?
The David Paul Fivenson has been issued the NPI (National Provider Identifier) 1235193525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where David Paul Fivenson is physically located?
The David Paul Fivenson is physically situated at the following address: 3200 W Liberty Rd Ste C5, Ann Arbor, MI, 481039746.
What is the David Paul Fivenson's area of specialization and corresponding taxonomy classification?
The David Paul Fivenson's specialty field is Clinical & Laboratory Dermatological Immunology, and it falls under the taxonomy code 207Ni0002X, which categorizes healthcare providers based on their specialties.
On what date did David Paul Fivenson receive its 1235193525 assignment from the Centers for Medicare & Medicaid Services?
The David Paul Fivenson was assigned its 1235193525 on 2006-04-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to David Paul Fivenson most recently updated or refreshed?
The details pertaining to the David Paul Fivenson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-22.