Individual
YVONNE Y FENNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 868-8000
Mailing address
PO BOX 452395, SUNRISE, FL 33345-2395
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0052213
MD
Other
Enumeration date
12/07/2005
Last updated
07/08/2007
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