Individual
COLIN FEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1476 13TH ST, WYANDOTTE, MI 48192-3336
(734) 507-9626
Mailing address
1476 13TH ST, WYANDOTTE, MI 48192-3336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704170944
MI
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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