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Individual

MICHAEL R FANCHER

Active
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Individual

MICHAEL R FANCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R8G08
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1256
BLUE
MO
05
160278001
AR
05
203056072
MO
01
300120714
RRR MEDICARE
MO
Enumeration date
03/27/2006
Last updated
09/04/2009
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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