Search › Michigan › 183500000X
Kevin Fantich
NPI 1316113921 · on the registry since 2008
Practice
- Address
- 26711 Northwestern Highway
Suite 400
Southfield, MI 48033 - Phone
- (248) 948-9900
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 1835P0018X
- Licence states on file
- FL, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan