Individual
CHARLES R FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
893 E SUPERIOR ST, WAYLAND, MI 49348-9181
(616) 252-3400
(269) 792-6268
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101011742
MI
Other
Enumeration date
04/13/2006
Last updated
12/05/2017
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