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Individual

DR. JONATHAN FELLOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
28595 ORCHARD LAKE RD, SUITE 200, FARMINGTON HILLS, MI 48334-2977
(248) 553-0010
(248) 553-5957
Mailing address
28595 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48334-2979
(248) 553-0010
(248) 553-5957

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
012969
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4520081
MI
Enumeration date
01/26/2006
Last updated
03/06/2025
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