Individual
MICHAEL EDWIN FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
643 CHALAN SAN ANTONIO STE 109, TAMUNING, GU 96913-3644
(671) 648-6390
Mailing address
5251 TITLE ROW DR, BRADENTON, FL 34210-4058
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00022516
AL
2085R0202X
Diagnostic Radiology Physician
Primary
M-1810
GU
Other
Enumeration date
02/14/2006
Last updated
03/05/2026
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