Individual provider · Type 1 NPI
Michael Niel Fenner, MD
Surgery Physician · Jacksonville, IL
Practice location
1600 W Walnut St
Jacksonville, IL 62650-1136
Mailing address
1025 S 6th St
Springfield, IL 62703-2403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 5616 (AK) |
| Surgery Physician Primary | 208600000X | 036080188 (IL) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
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About NPI 1578660445
Michael Niel Fenner, MD's National Provider Identifier is 1578660445, issued on Sep 20, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Jacksonville, IL. The record was last updated on Feb 4, 2021.