Individual
MRS. DONNA FELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17141 RYAN RD, DETROIT, MI 48212-1112
(313) 733-4860
Mailing address
17141 RYAN RD, DETROIT, MI 48212-1112
(313) 733-4860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704085291
MI
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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