Organization
D FERTEL DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J FERTEL D O (PRESIDENT)
(423) 310-1642
Entity
Organization
Contact information
Practice address
6149 N WAYNE RD, WESTLAND, MI 48185-7128
(734) 728-2130
Mailing address
6149 N WAYNE RD, WESTLAND, MI 48185-7128
(734) 728-2130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DF009690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4716419
—
MI
Enumeration date
04/09/2007
Last updated
04/10/2025
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