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Individual

DR. MICHAEL SEAN FENECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1300 E CENTENNIAL DR, PITTSBURG, KS 66762-6650
(620) 230-0044
(620) 230-0543
Mailing address
1 MT. CARMEL WAY, PITTSBURG, KS 66762-3807
(620) 230-0044
(620) 230-0543

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0536103
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200493130A
OK
05
201074480A
KS
Enumeration date
07/09/2009
Last updated
03/26/2020
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