SearchMichigan208600000X

Fallon Vanessa Dimaano, DO

NPI 1326587478 · on the registry since 2017 · sole proprietor

Practice

Address
2799 W Grand Blvd Ste 3a
Detroit, MI 48202
Phone
(313) 916-2600
Organisation at this address
Pcor Llc
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,594

Additional practice sites

  • 3883 Airway Dr Ste 220, Santa Rosa, CA

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
2086X0206X
Licence states on file
MI, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-16

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