Individual
EMMANUEL FERMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15896
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
08/06/2019
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