Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID PAUL FIVENSON, MD
Active Sole ProprietorDAVID PAUL FIVENSON, MD is a Clinical & Laboratory Dermatological Immunology healthcare provider located in ANN ARBOR, Michigan. NPI 1235193525 is currently active in the NPPES registry. Verify at CMS.
Clinical & Laboratory Dermatological Immunology · ANN ARBOR, MI
Registration Details
- NPI Number
- 1235193525
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2006 (20.153358845882 yrs)
- Last Updated
- Jun 22, 2021
- License
-
404817 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3001 MILLER RDANN ARBOR, MI, 481032122Browse MI providers · Browse ZIP 48103
- Phone
- 7342229630
- Fax
- 7342229631
- Primary Specialty
-
Clinical & Laboratory Dermatological Immunology
207NI0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.