Individual
DR. MICHAEL S FENSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7953
(605) 882-7954
Mailing address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7953
(605) 882-7954
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35-08-5517
OH
207RI0011X
Interventional Cardiology Physician
057762
GA
207RI0011X
Interventional Cardiology Physician
Primary
9353
SD
207RI0011X
Interventional Cardiology Physician
ME106924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2530925
—
OH
05
—
505473295B
—
GA
Enumeration date
01/19/2006
Last updated
07/21/2022
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