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Contact Information

ARNOLD C. FELLMAN, M.D., P.C.
1701 BALDWIN AVE
SUITE 207
PONTIAC, MI48340-3412
 Phone: 248-858-2255
 Fax: 248-858-8010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Clinical & Laboratory Dermatological Immunology

207NI0002X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ARNOLD C. FELLMAN, M.D., P.C.

NPI Number 1295931517
LBN Legal business name ARNOLD C. FELLMAN, M.D., P.C.
Authorized official ARNOLD FELLMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2007
Last updated 02/28/2008 - About 18 years ago
Identifiers
MI License # 4301029683
MI Medicaid 101063382
MI Other 4033181 AETNA
MI Other 070F339580 BLUE CARE NETWORK
MI Other 070F339580 BLUE CROSS BLUE SHIELD
MI Other MO13980 CHAMPUS
MI Other 01361A HAP
MI Other 0P46320 MEDICARE GROUP NUMBER
MI Other 71045012 MEDICARE TRAVELERS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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