Individual
MICHAEL FECHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
112 W D ST, SUITE 210-A, PUEBLO, CO 81003-3461
(719) 543-7877
Mailing address
8128 ELK RIVER VW, FOUNTAIN, CO 80817-1572
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0992711-CRNA
CO
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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