Michael Fenton

NPI #1154723740 in Clawson, Michigan

Provider Information

NPI Number: 1154723740
Entity Type: Individual
Name: Michael Fenton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Sep 25, 2014
Last Updated: Sep 25, 2014

Practice Location

Address: 220 S ROCHESTER RD
Address 2: 102
City: Clawson
State: Michigan
ZIP Code: 48017-2149
Phone: (313) 434-0402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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