Individual provider · Type 1 NPI
Roger B. Fenton, DO
Diagnostic Radiology Physician · Madison Heights, MI
NPI number
1780697425
Active
Practice location
27379 Dequindre
Madison Heights, MI 48071
Fax (248) 398-4995
Mailing address
4996 Champlain Circle
West Bloomfield, MI 48323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 5101006368 (MI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
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- Andrew Kopystynsky, MDDiagnostic Radiology Physician Madison Heights, MI NPI 1720092729
About NPI 1780697425
Roger B. Fenton, DO's National Provider Identifier is 1780697425, issued on Aug 14, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Madison Heights, MI. The record was last updated on Jun 14, 2011.