NPI 1184799058

Jerry S Fagelman, MD

Practitioner Ophthalmology Physician Clinton Township, MI

Practice location

Address: 39400 Garfield Rd Suite 103, Clinton Township, MI 48038-4096
Phone: (586) 286-6550
Fax: (586) 286-1843

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence JF025417 (MI)

Other Ophthalmology providers in Michigan →

Registry record

NPI: 1184799058
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.