Individual
DR. DAVID J FUGENSCHUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR, SUITE 6016, YPSILANTI, MI 48197-1014
(734) 712-8350
(734) 712-8351
Mailing address
5333 MCAULEY DR, SUITE 6016, YPSILANTI, MI 48197-1014
(734) 712-8350
(734) 712-8351
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301405916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2665689
—
MI
01
—
300073386
RAILROAD MEDICARE
MI
05
—
4877545
—
MI
01
—
700D711230
BCBS
MI
01
—
700H160030
BCBS
MI
01
—
P00350162
RAILROAD MEDICARE
MI
Enumeration date
05/18/2006
Last updated
08/30/2013
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