Individual
AURIELLE MARIE FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
IHA EAST BRIGHTON PRIMARY CARE, 5505 S OLD US 23 SUITE 100, BRIGHTON, MI 48116
(810) 494-6885
(313) 369-0142
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 747-6766
(313) 369-3950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301116934
MI
Other
Enumeration date
06/13/2016
Last updated
01/26/2023
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