Individual
DANIEL FENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
2109 HUGHES DR # 720, TOLEDO, OH 43606-3858
(419) 291-2077
(419) 291-2122
Mailing address
100 MADISON AVE, TOLEDO, OH 43604-1516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704308778
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023196
OH
Other
Enumeration date
01/21/2019
Last updated
06/17/2024
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