IndividualActive
David Fivenson, MD
NPI 1235193525 · Clinical & Laboratory Dermatological Immunology Physician · Ann Arbor, MI
Provider details
- NPI number
- 1235193525
- Entity type
- Individual
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 404817 (MI)
Practice location
3200 W Liberty Rd Ste C5
Ann Arbor, MI 48103-9746
Phone: (734) 222-9630
Fax: (734) 222-9631
Mailing address
3200 W Liberty Rd Ste C5
Ann Arbor, MI 48103-9746
Registry dates
- Enumerated
- 2006-04-13
- 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.