Provider Demographics
NPI:1053413146
Name:FIANDER, DONALD C (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:C
Last Name:FIANDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25325 FORD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1086
Mailing Address - Country:US
Mailing Address - Phone:313-357-3006
Mailing Address - Fax:313-724-2455
Practice Address - Street 1:25325 FORD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1086
Practice Address - Country:US
Practice Address - Phone:313-357-3006
Practice Address - Fax:313-724-2455
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIDF058932207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1808245461OtherBCBS OF MICHIGAN
MI1808245461OtherBCBS OF MICHIGAN