Individual
DEE ELLEN FENNER
Active
Individual
DEE ELLEN FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301405915
MI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
4301405915
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4371544
—
MI
Enumeration date
10/02/2006
Last updated
12/13/2018
Update your record
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