Individual
DR. MICHAEL FESENMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CENTER ST, MOBILE, AL 36604-1541
(251) 415-1496
(251) 415-1450
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(866) 401-3057
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35083564
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.49761
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370623
MEDICAL MUTUAL
OH
01
—
0705610
UNITED HEALTHCARE
OH
05
—
2608057
—
OH
01
—
311575051057
CARESOURCE
OH
01
—
313195
AMERIGROUP
OH
01
—
7094699
AETNA
OH
Enumeration date
10/31/2005
Last updated
10/17/2024
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