Doctor Name: | DAVID SEAN FITCH |
NPI Number: | 1912121153 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 58-002091 |
Business Practice Address: | 325 E Eisenhower Suite 100 Ann Arbor, MI - 481083364 |
Business Phone Number: | 7349367175 |
Business Fax Number: | |
Mailing Address: | 3621 S State St, 700 Kms Place ANN ARBOR |
State: | MI |
Postal Code: | 48108 |
Phone Number: | 7349362047 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 04/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 58-002091 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |