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Fallon Fagan
NPI 1811351919 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3031 W Grand Blvd
Suite 450
Detroit, MI 48202 - Phone
- (313) 346-5235
- Organisation at this address
- Synergy Partners Llc
Urban Health Resource
Henry Ford Health System
Henry Ford Health System
Urban Health Outreach, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 237
Additional practice sites
- 5901 Long Dr, Houston, TX
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- 390200000X
- Licence states on file
- TX, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-06
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