Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EVAN BRADLEY FONGER, MD
ActiveDR. EVAN BRADLEY FONGER, MD is a Family Medicine healthcare provider located in DETROIT, Michigan. NPI 1467655886 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DETROIT, MI
Registration Details
- NPI Number
- 1467655886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2007 (19.233400656013 yrs)
- Last Updated
- Apr 16, 2019
- Licenses
-
4301087817 (MI)4301087817 (MI)
Practice Information
- Address
-
400 MACK AVENUEDETROIT, MI, 48201Browse MI providers · Browse ZIP 48201
- Phone
- 3135785000
- Fax
- 3135786379
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| SYLVIA G MUSTONEN | DO | 1306848619 |
| DR. WILLIAM P PRECHEL | D.O. | 1912903139 |
| EDUARDO ABELLANA | M.D. | 1215929906 |
| DR. BARRY D. BRONSTEIN | D.O. | 1699767475 |
| JAROSLAW SAWKA | D.O. | 1750373478 |
| GLORIA CHANEY | — | 1548252240 |
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.