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Contact Information

FANNY A DELA CRUZ, MD
17880 FARMINGTON RD
UNIT B
LIVONIA, MI48152-3104
 Phone: 734-744-8560
 Fax: 734-744-8563
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for FANNY A DELA CRUZ · (Female)

NPI # 1689742397
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 03/23/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301036977
  • MI License # FDO36977
  • MI Medicaid 1788503
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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