Organization
FENTON LATE HOURS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH L DUNCAN MD (PHYSICIAN/CO OWNER)
(810) 629-7511
Entity
Organization
Contact information
Practice address
102 N ADELAIDE ST, FENTON, MI 48430-2670
(810) 629-7511
(810) 629-6535
Mailing address
102 N ADELAIDE ST, FENTON, MI 48430-2670
(810) 629-7511
(810) 629-6535
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301051746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700B512020
BLUE CARE NETWORK ID
MI
Enumeration date
07/18/2008
Last updated
07/18/2008
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