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

Individual provider Obstetrics & Gynecology Physician · NPI 1366457848

Dr. Theodore L. Fellenbaum, MD is an Obstetrics/Gynecology in Flint, Michigan. Graduated from Northwestern University Feinberg Medical School in 1976, 50 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
50
Trained at
Northwestern University Feinberg Medical School
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4520 Linden Creek Pkwy Ste F
Flint, MI 48507-2969
Phone: (810) 733-8200
Fax: (810) 733-8272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301056913 (MI)

Record details

NPI number1366457848
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 12, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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