Individual
MR. TERRY D FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 WILLOW ST, VINCENNES, IN 47591-5355
(812) 882-6637
(812) 886-8938
Mailing address
2121 WILLOW ST, PO BOX 316, VINCENNES, IN 47591-5355
(812) 882-6637
(812) 886-8938
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
01032369A
IN
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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