Fenton Medical Center in Fenton - Adolescent Medicine

Fenton Medical Center - NPI 1134165632

Fenton Medical Center is a Adolescent Medicine in Fenton, Michigan. Fenton Medical Center practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Fenton Medical Center is 1134165632. The last update date is 2010-04-14.

Fenton Medical Center's current location address is 102 N Adelaide St, Fenton, Michigan. You can contact this provider via phone number 8106292245 and fax number 8106296535. The mailing address for Fenton Medical Center is 102 N Adelaide St, Fenton, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fenton Medical Center
Address 102 N Adelaide St, Fenton, Michigan
Phone Number 8106292245
Fax Number 8106296535
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN/
Authorized Official Name Duncan L Deborah
Credentials M.D.
Telephone Number 8106292245

NPI Number Detail

NPI Number 1134165632
Provider Enumeration Date 2006-06-22
Last Updated Date 2010-04-14

Provider Mailing Address Detail

Address 102 N Adelaide St
City Fenton
State Michigan (MI)
Post Code 484302670
Phone Number 8106292245
Fax Number 8106296535

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Ra0000X
Definition:
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W515 MI MCARE GROUP ID #
OB56256 MI BCBS GROUP ID MI
G01521 MI BCN GROUP ID #

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FAQs about Fenton Medical Center

What is the unique 10-digit identifier code issued to Fenton Medical Center by the Centers for Medicare & Medicaid Services?

The Fenton Medical Center has been assigned the NPI (National Provider Identifier) 1134165632 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Fenton Medical Center is geographically located?

The Fenton Medical Center is physically situated at the following location: 102 N Adelaide St, Fenton, MI, 484302670.

What is Fenton Medical Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Fenton Medical Center is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Ra0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134165632 to Fenton Medical Center?

The Fenton Medical Center received its 1134165632 assignment from the Centers for Medicare & Medicaid Services on 2006-06-22.

When was the information regarding Fenton Medical Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Fenton Medical Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-04-14.

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