David Fivenson, M.D.Dermatology, Pllc

LBN: David Fivenson, M.D.Dermatology, Pllc
David Fivenson, M.D.Dermatology, Pllc is an health care organization with primary practice located at 3001 Miller Rd , Ann Arbor MI 48103-2122. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. David Fivenson, M.D.Dermatology, Pllc can be contacted via phone (734) 222-9630, or through Fivenson, David via phone (734) 222-9630.

Contact Information

Primary practice address
3001 Miller Rd Ann Arbor MI 48103-2122
Phone: (734) 222-9630
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fivenson, David Doctor of Medicine (MD)
Phone: (734) 222-9630

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X DF404817 Michigan

Profile Details

NPI number 1205037454
LBN Legal business name David Fivenson, M.D.Dermatology, Pllc
DBA Doing business as
Authorized official Fivenson, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Dec 2nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205037454 NPPES
Michigan Other DF404817 STATE LICENSE

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