Michael Niel Fenner, MD

NPI #1578660445 in Jacksonville, Illinois

Provider Information

NPI Number: 1578660445
Entity Type: Individual
Name: Michael Niel Fenner, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Sep 20, 2006
Last Updated: Feb 4, 2021

Practice Location

Address: 1600 W WALNUT ST
City: Jacksonville
State: Illinois
ZIP Code: 62650-1136
Phone: (217) 528-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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