Dr. EVAN BRADLEY FONGER MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1467655886- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 400 MACK AVENUE, DETROIT, MI, 48201
- Phone
- (313) 578-5000
- Fax
- (313) 578-6379
Specialties & Taxonomies
Internal Medicine, Hospice and Palliative Medicine
License: MI #4301087817
Family Medicine
Primary License: MI #4301087817