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Contact Information

EVAN B FONGER, MD
400 MACK AVENUE
DETROIT, MI48201
 Phone: 313-578-5000
 Fax: 313-578-6379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EVAN B FONGER · (Male)

NPI Number 1467655886
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2007
Last updated 04/13/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301087817
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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