Individual
DR. DAVID FRANK FATZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
6100 NEWPORT RD, SUITE 222, PORTAGE, MI 49002-9235
(269) 324-1248
Mailing address
28143 SPRINGBROOK DR, LAWTON, MI 49065-9608
(269) 806-2937
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002975
MI
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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