Doctor Name: | DR. IVONNE IVETTE FELIX |
NPI Number: | 1063492882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301062904 |
Business Practice Address: | 971 Hunt Club Blvd Auburn Hills, MI - 483263686 |
Business Phone Number: | 2482994345 |
Business Fax Number: | 2482991288 |
Mailing Address: | 971 Hunt Club Blvd, AUBURN HILLS |
State: | MI |
Postal Code: | 483263686 |
Phone Number: | 2482994345 |
Fax Number: | 2482991288 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301062904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |