Doctor Name: | DR. MICHAEL FATT |
NPI Number: | 1245378686 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 225918-0 |
Business Practice Address: | 5333 Mcauley Dr Suite 6016 Ypsilanti, MI - 481971014 |
Business Phone Number: | 7347128350 |
Business Fax Number: | 7347128351 |
Mailing Address: | 5333 Mcauley Dr, Suite 6016 YPSILANTI |
State: | MI |
Postal Code: | 481971014 |
Phone Number: | 7347128350 |
Fax Number: | 7347128351 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 225918-0 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |