Individual
MICHAEL FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 S ROCHESTER RD, 102, CLAWSON, MI 48017-2149
(313) 434-0402
Mailing address
220 S ROCHESTER RD, 102, CLAWSON, MI 48017-2149
(313) 434-0402
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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