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Search › Michigan › 207R00000X

Shyran Hines-Fenderson, M.D

NPI 1699933721 · on the registry since 2008 · sole proprietor

Practice

Address
4201 Saint Antoine St
Suite 9d
Detroit, MI 48201
Phone
(313) 966-5187
Fax
(313) 966-8111
Organisation at this address
Walgreen Co
Family Service
Vhs Of Michigan
Ahmed Sawah Md Pc
Rehab Alliance Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
803

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
208000000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-02

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