Fonger, Evan Bradley

Fonger, Evan Bradley is an individual health care provider with primary practice located at 400 Mack Avenue , Detroit MI 48201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fonger, Evan Bradley can be contacted via phone (313) 578-5000.

Contact Information

Primary practice address
400 Mack Avenue Detroit MI 48201
Phone: (313) 578-5000
Fax: (313) 578-6379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 4301087817 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301087817 Michigan

Profile Details

NPI number 1467655886
LBN Legal business name Fonger, Evan Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Apr 16th, 2019 - about 5 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.

Request for update

Popular Providers