Organization
DR. T. FELLENBAUM M.D. & OB/GYN ASSOCIATES, P.C.
Active
Parent organization
DR. T FELLENBAUM M.D. AND OB/GYN ASSOCIATES
Other names
Mid-Michigan Vulvar Care and Colposcopy Center, Flint OBGYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. T FELLENBAUM M.D. AND OB/GYN ASSOCIATES
Authorized official
MR. DONOVAN MISKE (OFFICE MANAGER)
(810) 733-8200
Entity
Organization
Contact information
Practice address
3500 CALKINS RD, FLINT, MI 48532-3500
(810) 733-8200
(810) 221-1751
Mailing address
3500 CALKINS RD, FLINT, MI 48532-3500
(810) 733-8200
(810) 221-1751
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301056913
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123042
PREFERRED CHOICES
MI
01
—
1366457848
MOLINA
MI
01
—
15289
HEALTH PLAN OF MICHIGAN
MI
01
—
1602513951
BLUE CARE NETWORK (BCN) BLUE CHOICE
MI
01
—
1606365292
HEALTH PLUS OF MICHIGAN (HGH) MEDICAID
MI
01
—
F24353
HEALTH ALLIANCE PLAN (HAP) COMMERCIAL
MI
Enumeration date
05/16/2008
Last updated
09/11/2025
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