DR. Theodore L. Fellenbaum, M.D.

NPI #1366457848 in Flint, Michigan

Provider Information

NPI Number: 1366457848
Entity Type: Individual
Name: DR. Theodore L. Fellenbaum, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Obstetrics & Gynecology
Credential: M.D.
Enumeration Date: Jul 31, 2006
Last Updated: Jul 12, 2013

Practice Location

Address: 4520 LINDEN CREEK PKWY
Address 2: SUITE F
City: Flint
State: Michigan
ZIP Code: 48507-2969
Phone: (810) 733-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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