THOMAS FAGAN
Emergency Medicine
Active
Individual
NPI: 1174133292
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medicine | 207P00000X | Yes | 4301511262 (MI) |
Frequently Asked Questions
NPI 1174133292 is the National Provider Identifier for THOMAS FAGAN, a Emergency Medicine provider located in Detroit, MI. This NPI was enumerated on August 4, 2020.
THOMAS FAGAN practices at 2799 W GRAND BLVD, Detroit, MI 48202.
Quick Facts
- NPI
- 1174133292
- Type
- Individual
- Enumerated
- Aug 4, 2020
- Last Updated
- Aug 18, 2025
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