Individual
DR. FADI H DELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 FORT ST, WYANDOTTE, MI 48192-4135
(734) 357-0505
(734) 357-0506
Mailing address
2211 FORT ST, WYANDOTTE, MI 48192-4135
(734) 357-0505
(734) 357-0506
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301094922
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301094922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301094922
MEDICAL LICENSE
MI
Enumeration date
06/27/2010
Last updated
12/28/2020
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