Individual
ANN M FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
62 REDMOND ST, JACKSON, WY 83002
(307) 734-1313
(307) 734-0314
Mailing address
PO BOX 14230, JACKSON, WY 83002-4230
(307) 734-0314
(307) 734-1313
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
5482A
WY
Other
Enumeration date
04/09/2007
Last updated
07/09/2007
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