Fenner, Dee Ellen
Fenner, Dee Ellen is an individual health care provider with primary practice located at 1500 East Medical Center Dr 9Th Floor Vonvoigtlander Womens Hosp Rep 'B', Ann Arbor MI 48109-4276. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Fenner, Dee Ellen can be contacted via phone (734) 763-6295.Contact Information
Primary practice address
1500 East Medical Center Dr 9Th Floor Vonvoigtlander Womens Hosp Rep 'B'
Ann Arbor MI 48109-4276
Phone: (734) 763-6295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301405915 | Michigan |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 4301405915 | Michigan |
Profile Details
| NPI number | 1538252747 |
|---|---|
| LBN Legal business name | Fenner, Dee Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Dec 13th, 2018 - about 7 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538252747 | NPPES |
| Michigan | MEDICAID | 4371544 |
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