Individual
DR. REBECCA ELEANOR FENELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
2420 LILLY RD, BROOKFIELD, WI 53005-4907
(262) 923-0352
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
84495-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100334166
—
WI
Enumeration date
03/24/2020
Last updated
10/21/2025
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