Individual
JOYCE RENICK FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8400
(810) 762-8118
Mailing address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8400
(810) 762-8118
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301030266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4535048
—
MI
Enumeration date
10/10/2005
Last updated
02/27/2008
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