Individual
DR. DONALD WAYNE FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
716 LIGHTHOUSE AVE, SUITE D-1, PACIFIC GROVE, CA 93950-2565
(831) 655-3392
(831) 647-7940
Mailing address
716 LIGHTHOUSE AVE, SUITE D-1, PACIFIC GROVE, CA 93950-2565
(831) 655-3392
(831) 647-7940
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G55422
CA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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