SHANE R FANCHER

DECATUR, IL
NPI1427055433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: IL  036-094339)
Additional Taxonomies207LP2900X Anesthesiology, Pain Medicine
(Licence: SC  24559)
207LP2900X Anesthesiology, Pain Medicine
(Licence: FL  ME93432)
208600000X Surgery
(Licence: IL  036-094339)
208600000X Surgery
(Licence: SC  24559)
207LP2900X Anesthesiology, Pain Medicine
(Licence: IL  036-094339)
208600000X Surgery
(Licence: FL  ME93432)
207L00000X Anesthesiology
(Licence: SC  24559)
207L00000X Anesthesiology
(Licence: IL  036-094339)
207L00000X Anesthesiology
(Licence: FL  ME93432)
Enumeration Date2005-07-05
Last Update Date2023-08-17
Business Address
Dr. SHANE R FANCHER MD
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2729
Mailing Address
Dr. SHANE R FANCHER MD
4160 S LAKE CT
DECATUR, IL 62521-8440
Phone number: 217-425-9665