Individual
DR. HOWARD FERTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
4255 ELIZABETH LN, COMMERCE TOWNSHIP, MI 48390-1306
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101010677
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114316542
—
MI
05
—
114441513
—
MI
05
—
114441522
—
MI
01
—
HF010677
BC/BS OF MICHIGAN
MI
Enumeration date
05/30/2006
Last updated
11/21/2014
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