Individual
ANDREW FELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S STANFIELD RD STE A, TROY, OH 45373-2569
(937) 339-5355
(937) 339-3056
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 339-5355
(937) 339-3056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.142804
OH
207Q00000X
Family Medicine Physician
5601009235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11018928A
IN MEDICAL LICENSE
IN
Enumeration date
06/03/2016
Last updated
03/19/2026
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