Individual
CECILIA MARGARET FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
39901 TRADITIONS DR, NORTHVILLE, MI 48168-9493
(248) 305-4400
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002539
MI
Other
Enumeration date
11/01/2006
Last updated
08/10/2020
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