Individual
DR. DAVID JAMES FUGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1660 HASLETT RD, SUITE 1, HASLETT, MI 48840-8469
(517) 347-8420
(517) 347-8420
Mailing address
1660 HASLETT RD, SUITE 1, HASLETT, MI 48840-8469
(517) 347-8420
(517) 347-8420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006608
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P112677
VALUE OPTIONS
MI
Enumeration date
11/16/2006
Last updated
07/08/2007
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