Individual
DR. JERRY S FAGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39400 GARFIELD RD, SUITE 103, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-6550
(586) 286-1843
Mailing address
39400 GARFIELD RD, SUITE 103, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-6550
(586) 286-6550
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
JF025417
MI
Other
Enumeration date
11/23/2006
Last updated
07/08/2007
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