MR. Michael James Fennell II, PA-C
NPI #1023765708 in Orchard Park, New York
Provider Information
- NPI Number
- 1023765708
- Entity Type
- Individual
- Name
- MR. Michael James Fennell II, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 3, 2022
- Last Updated
- Mar 3, 2022
Practice Location
- Address
- 3055 SOUTHWESTERN BLVD STE 100
- City
- Orchard Park
- State
- New York
- ZIP Code
- 14127-1231
- Phone
- (716) 675-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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