Individual
FETHI ONAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19251 MACK AVE STE 333, GROSSE POINTE WOODS, MI 48236-2898
(313) 343-7280
Mailing address
19251 MACK AVE STE 333, GROSSE POINTE WOODS, MI 48236-2898
(313) 343-7280
(313) 343-8747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301513941
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
07/08/2025
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