Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Fivenson, M D Dermatology, PLLC

Organization Clinical & Laboratory Dermatological Immunology Physician · NPI 1205037454

David Fivenson, M D Dermatology, PLLC is a Clinical & Laboratory Dermatological Immunology Physician in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3200 W Liberty Rd Ste C5
Ann Arbor, MI 48103-9746
Phone: (734) 222-9630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical & Laboratory Dermatological Immunology Physician (primary) Taxonomy 207NI0002X · Licence DF404817 (MI)

Record details

NPI number1205037454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Fivenson — President · (734) 222-9630
NPI enumeratedMay 29, 2007
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103-9746

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