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NPI Code Detail

MEDICARE: FENTON MEDICAL CENTER

MEDICARE: FENTON MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician4301038438MI
2363A00000XPhysician Assistant
3207R00000XInternal Medicine Physician
4207RA0000XAdolescent Medicine (Internal Medicine) Physician
5207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W515OTHERMIMCARE GROUP ID #
2OB56256OTHERMIBCBS GROUP ID MI
3G01521OTHERMIBCN GROUP ID #

General Provider Information

NPI Number : 1134165632
Entity Type Code : Organization
Provider Name (Legal Business Name) : FENTON MEDICAL CENTER
Provider Business Mailing Address
First Line : 102 N ADELAIDE ST
Second Line :
City : FENTON
State : MI
Zip : 48430-2670
Country : US
Telephone Number : 810-629-2245
Fax Number : 810-629-6535
Provider Business Practice Location Address
First Line : 102 N ADELAIDE ST
Second Line :
City : FENTON
State : MI
Zip : 48430-2670
Country : US
Telephone Number : 810-629-2245
Fax Number : 810-629-6535
Authorized Official
Title or Position : MEDICAL DOCTOR/OWNER
Name : DEBORAH L DUNCAN
Credential :
Telephone Number : 810-629-2245
Provider Enumeration Date : 06/22/2006
Last Update Date : 12/05/2025

Similar Medicare Providers

1649272477 — NIKETA DANI MD
Practice Location Address:
102 N ADELAIDE ST
FENTON, MI
48430-2670
Practice Phone: 810-629-2245
Practice Fax: 810-629-6535
1013995125 — DR. TEJAL SHAH JOSEPH M.D.
Practice Location Address:
102 N. ADELAIDE STREET
FENTON, MI
48430-2670
Practice Phone: 810-629-2245
Practice Fax: 810-629-6535
1841260817 — JAMES A MARTIN MD
Practice Location Address:
102 N ADELAIDE ST
FENTON, MI
48430-2670
Practice Phone: 810-629-2245
Practice Fax: 810-629-6535
1760452247 — MRS. DEBORAH L DUNCAN MD
Practice Location Address:
102 N ADELAIDE ST
FENTON, MI
48430-2670
Practice Phone: 810-629-2245
Practice Fax: 810-629-6535
1205803780 — DR. DARYL G DAMRON D.C.
Practice Location Address:
102 N ADELAIDE ST
FENTON, MI
48430-2670
Practice Phone: 810-629-2245
Practice Fax: 810-629-6535
1497722870 — HEATHER F MANNOR P.A.-C
Practice Location Address:
102 N ADELAIDE ST
FENTON, MI
48430-2670
Practice Phone: 810-629-2245
Practice Fax: 810-629-6535

Directions to “FENTON MEDICAL CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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