Individual
MICHAEL CHRISTOPHER FICENEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10305 HAMPTONS PARK DR STE 101, HUNTERSVILLE, NC 28078-7221
(704) 384-1130
(704) 384-1131
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005-00379
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295759983
—
NC
05
—
5900935
—
NC
Enumeration date
07/26/2006
Last updated
10/25/2020
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