Fenton Family Medicine, P.c.

NPI 1720198039 - Clinic/Center - 261QP2300X

NPI Details
NPI 1720198039
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH R KENNETH
Position PRESIDENT
Phone (810) 750-6060
Fax (810) 750-6081
Practice Location
445 N FENWAY DR
FENTON MI, 48430-2666, US
Phone (810) 750-6060
Fax (810) 750-6081
Business Location
445 N FENWAY DR
FENTON MI, 48430-2666, US
Phone (810) 750-6060
Fax (810) 750-6081
Toxanomy
Taxonomy Code 261QP2300X
License State Michigan
License Number KS051250
Remove 1720198039 NPI Number
 

According to our database, Fenton Family Medicine, P.c. NPI is 1720198039, taxonomy code is 261QP2300X and license number is KS051250, license state is located at Michigan. Fenton Family Medicine, P.c. physically located at 445 N Fenway Dr, Fenton MI, 48430-2666. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1720198039 NPI number is provided on an as is basis without warranty of any kind. 1720198039 is maintained by the National Plan & Provider Enumeration System. The contents of Fenton Family Medicine, P.c. are for informational purposes only.