Individual
LORETTE VANESSA FAHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6869 OCCIDENTAL HWY, TECUMSEH, MI 49286
(517) 423-6803
(517) 423-7257
Mailing address
6869 OCCIDENTAL HWY, P.O. BOX 130, TECUMSEH, MI 49286
(517) 423-6803
(517) 423-7257
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LF075422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4165036
—
MI
Enumeration date
04/14/2006
Last updated
07/07/2010
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