Individual
DR. NATHAN JAMES FITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4660 S HAGADORN RD STE 420, EAST LANSING, MI 48823-5353
(517) 884-6100
(517) 884-6233
Mailing address
804 SERVICE RD # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101020411
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101020411
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114366499
—
MI
Enumeration date
06/19/2013
Last updated
03/17/2018
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