OrganizationActive
David Fivenson, M.d.dermatology, PLLC
NPI 1205037454 · Clinical & Laboratory Dermatological Immunology Physician · Ann Arbor, MI
Provider details
- NPI number
- 1205037454
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- David Fivenson, President
- License
- DF404817 (MI)
Practice location
3200 W Liberty Rd Ste C5
Ann Arbor, MI 48103-9746
Phone: (734) 222-9630
Mailing address
3200 W Liberty Rd Ste C5
Ann Arbor, MI 48103-9746
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2026-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.