MICHELLE FANOUS

PHILADELPHIA, PA
NPI1558598292
Former NameMICHELLE SHAROBEEM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  OT012883&OS015355)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: PA  OT012883)
207Q00000X Family Medicine
(Licence: PA  OT012883)
207Q00000X Family Medicine
(Licence: PA  OS015355&OT012883)
Enumeration Date2009-06-21
Last Update Date2011-11-16
Business Address
Mrs. MICHELLE FANOUS D.O.
RED LION & KNIGHTS ROADS
PHILADELPHIA, PA 19114
Phone number: 215-612-4000
Mailing Address
Mrs. MICHELLE FANOUS D.O.
RED LION & KNIGHTS ROADS
PHILADELPHIA, PA 19114
Phone number: 215-612-4000