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Organization

PHYSICIANS ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN G FATA MD (PRESIDENT)
(517) 487-1288
Entity
Organization

Contact information

Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 487-1288
(517) 487-1129
Mailing address
1031 E SAGINAW ST, LANSING, MI 48906-5519
(517) 487-1288
(517) 487-1129

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
05/15/2007
Last updated
06/21/2018
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