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1023765708
MICHAEL JAMES FENNELL
ORCHARD PARK, NY
NPI
1023765708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 028057-01)
Enumeration Date
2022-03-03
Last Update Date
2022-03-03
Business Address
Mr. MICHAEL JAMES FENNELL PA-C
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127-1231
Phone number: 716-675-2500
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Mailing Address
Mr. MICHAEL JAMES FENNELL PA-C
9673 GARDEN WALK
CLARENCE CENTER, NY 14032-9411
Phone number:
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