Individual
DR. HABIB M FANNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 HILYARD ST, EUGENE, OR 97401-3718
(541) 686-7300
Mailing address
PO BOX 7188, DETROIT, MI 48207-0188
(734) 626-4663
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD197395
OR
Other
Enumeration date
06/24/2014
Last updated
07/13/2020
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