Individual
MRS. TATHYANA MARQUES F FENSTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2507 BUSH RIDGE DR STE B, LOUISVILLE, KY 40245
(502) 589-8000
(502) 589-8001
Mailing address
2507 BUSH RIDGE DR STE B, LOUISVILLE, KY 40245-5885
(502) 589-8000
(502) 589-8001
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
52168
KY
Other
Enumeration date
03/21/2011
Last updated
05/10/2019
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