IndividualActive
James Fordyce, MD
NPI 1215905765 · Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Dearborn, MI
Provider details
- NPI number
- 1215905765
- Entity type
- Individual
- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301034472 (MI)
Specialties & taxonomies
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianPrimary207KI0005XLicense 4301034472 (MI)
Allopathic & Osteopathic Physicians
Practice location
19855 Outer Dr
Ste 204
Dearborn, MI 48124-2022
Phone: (313) 565-3565
Fax: (313) 565-7723
Approximate (ZIP-level) locationGet directions
Mailing address
19855 Outer Dr
Dearborn, MI 48124-2022
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2015-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.