Individual provider · Type 1 NPI

Mikayla Katherine Fellman

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1972374619 Active

Practice location

17320 W 12 Mile Rd
Southfield, MI 48076-2100

Call (248) 727-3456 Map

Mailing address

30510 Barlow St
Farmington Hills, MI 48334-3708

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972374619

Mikayla Katherine Fellman's National Provider Identifier is 1972374619, issued on Jan 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Jan 11, 2024.