Dimaano, Fallon Vanessa

Dimaano, Fallon Vanessa is an sole proprietor health care provider with primary practice located at 2799 W Grand Blvd Ste 3A , Detroit MI 48202-2608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Dimaano, Fallon Vanessa can be contacted via phone (313) 916-2600.

Contact Information

Primary practice address
2799 W Grand Blvd Ste 3A Detroit MI 48202-2608
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101026948 Michigan
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 20A21328 California

Profile Details

NPI number 1326587478
LBN Legal business name Dimaano, Fallon Vanessa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2017
Last updated Feb 16th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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