Individual
JOHN C FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS, PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2007
(216) 444-2200
Mailing address
17236 PARK DR, CHAGRIN FALLS, OH 44023-4641
(440) 390-0967
(440) 543-0885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2753
OH
363A00000X
Physician Assistant
Primary
50.002753RX
OH
Other
Enumeration date
01/15/2008
Last updated
03/05/2026
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