| Doctor Name: | MR. CHRISTOPHER A FEGLEY |
| NPI Number: | 1003814476 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 50001592 |
| Business Practice Address: | 1100 E Michigan Ave Suite 301 Jackson, MI - 492011847 |
| Business Phone Number: | 5178177605 |
| Business Fax Number: | 5178177606 |
| Mailing Address: | Po Box 67000, Department 272801 DETROIT |
| State: | MI |
| Postal Code: | 482670002 |
| Phone Number: | 5178416913 |
| Fax Number: | 5178416917 |
| NPI Enumeration Date: | 07/11/2005 |
| NPI Last Update Date: | 04/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 50001592 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |