Organization
FENTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L DUNCAN (MEDICAL DOCTOR/OWNER)
(810) 629-2245
Entity
Organization
Contact information
Practice address
102 N ADELAIDE ST, FENTON, MI 48430-2670
(810) 629-2245
(810) 629-6535
Mailing address
102 N ADELAIDE ST, FENTON, MI 48430-2670
(810) 629-2245
(810) 629-6535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
4301038438
MI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01521
BCN GROUP ID #
MI
01
—
OB56256
BCBS GROUP ID MI
MI
01
—
W515
MCARE GROUP ID #
MI
Enumeration date
06/22/2006
Last updated
12/05/2025
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