Search › Michigan › 183500000X
Fawn Bass
NPI 1770170193 · on the registry since 2020
Practice
- Address
- 5637 Cleveland Ave
Stevensville, MI 49127 - Phone
- (269) 429-8441
- Fax
- (269) 429-7578
- Organisation at this address
- Martin'S Super Markets Of Stevensville Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-31
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