Provider Demographics
NPI:1760788947
Name:FUGLE AND ASSOCIATES PC
Entity Type:Organization
Organization Name:FUGLE AND ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FUGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-681-4206
Mailing Address - Street 1:940 W AVON RD
Mailing Address - Street 2:BLDG B
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2760
Mailing Address - Country:US
Mailing Address - Phone:248-656-0440
Mailing Address - Fax:
Practice Address - Street 1:940 W AVON RD
Practice Address - Street 2:BLDG B
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2760
Practice Address - Country:US
Practice Address - Phone:248-656-0440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty