Organization
FENTON FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R STEIBEL M.D. (PRESIDENT)
(810) 750-6060
Entity
Organization
Contact information
Practice address
445 N FENWAY DR, FENTON, MI 48430-2666
(810) 750-6060
(810) 750-6081
Mailing address
445 N FENWAY DR, FENTON, MI 48430-2666
(810) 750-6060
(810) 750-6081
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
KS051250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080B56203
BCBS
MI
01
—
0B56203
BLUE CARE NETWORK
MI
01
—
2509644012
HEALTH PLUS
MI
05
—
2787144
—
MI
01
—
C3137
MCARE
MI
01
—
E77396
HAP
MI
Enumeration date
08/30/2006
Last updated
08/22/2020
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