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Individual

MR. DAVID W FENRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.I.S.

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1115
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42835900
WI
Enumeration date
04/30/2008
Last updated
04/30/2008
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