Provider Demographics
NPI:1780899047
Name:FIOR, DEAN EDWARD (DO)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:EDWARD
Last Name:FIOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9448 DEAN RD
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-9317
Mailing Address - Country:US
Mailing Address - Phone:248-825-7373
Mailing Address - Fax:888-446-1521
Practice Address - Street 1:9448 DEAN RD
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-9317
Practice Address - Country:US
Practice Address - Phone:248-825-7373
Practice Address - Fax:888-446-1521
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017060208600000X, 208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice