Individual
DR. MICHAEL MELVIN FUENFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 HIGHLAND AVE, WOUND CARE CENTER, NEWBURYPORT, MA 01950-3867
(978) 762-4888
(978) 762-3922
Mailing address
PO BOX 129, DANVERS, MA 01923-0229
(978) 762-4888
(301) 785-3820
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
49938
NH
2086S0120X
Pediatric Surgery Physician
Primary
028157
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962575936
—
CT
Enumeration date
11/16/2006
Last updated
03/13/2020
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