# DR. MICHAEL FENLON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851779052
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | 14158197-1235 | UT | Yes |
| 208600000X | Surgery Physician | 135974 | CA | — |
| 2086S0120X | Pediatric Surgery Physician | 036166547 | IL | — |

## Other

- **Enumeration date:** 05/08/2015
- **Last updated:** 12/05/2025