Michael Niel Fenner in Springfield - Surgery

Michael Niel Fenner - NPI 1578660445

Michael Niel Fenner is a Surgery in Springfield, Illinois. Michael Niel Fenner practices all healthcare services and medical treatments related to Surgery. The NPI Number for Michael Niel Fenner is 1578660445. The last update date is 2021-02-04.

Michael Niel Fenner's current location address is 1025 S 6th St, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Michael Niel Fenner is 1025 S 6th St, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Niel Fenner
Address 1025 S 6th St, Springfield, Illinois
Phone Number 2175287541
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1578660445
Provider Enumeration Date 2006-09-20
Last Updated Date 2021-02-04

Provider Mailing Address Detail

Address 1025 S 6th St
City Springfield
State Illinois (IL)
Post Code 627032403
Phone Number 2175287541
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 5616
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
R01571 IL MEDICARE PTAN
MD3077 AK --

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FAQs about Michael Niel Fenner

What is the unique provider identifier assigned to Michael Niel Fenner?

The Michael Niel Fenner has been issued the NPI (National Provider Identifier) 1578660445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Michael Niel Fenner?

The Michael Niel Fenner is physically situated at 1025 S 6Th St, in the city of Springfield, state of IL, with the postal code 627032403.

What is Michael Niel Fenner's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Niel Fenner's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

When did the Michael Niel Fenner receive its 1578660445?

The Michael Niel Fenner was issued its 1578660445 on 2006-09-20, which is the date when the organization was assigned this unique identifier.

As of what date were the Michael Niel Fenner's details last updated?

The information pertaining to the Michael Niel Fenner, including its address, specialty, and other details, was most recently updated on 2021-02-04.

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