Individual
MARK FENNEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 BOWER HILL RD, UPMC PASSAVANT HOSPITAL, PITTSBURGH, PA 15243-1873
(412) 942-4000
Mailing address
1000 BOWER HILL RD, ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN PATNESK, PITTSBURGH, PA 15243-1873
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS007405E
PA
Other
Enumeration date
05/08/2006
Last updated
04/06/2021
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