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Individual
DR. MICHAEL FENLON
Active
Individual
DR. MICHAEL FENLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
14158197-1235
UT
208600000X
Surgery Physician
135974
CA
2086S0120X
Pediatric Surgery Physician
036166547
IL
Other
Enumeration date
05/08/2015
Last updated
12/05/2025
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