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1962191403
MICHAEL THOMAS FEWKES
CASPER, WY
NPI
1962191403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WY 215-T2)
Enumeration Date
2023-05-02
Last Update Date
2024-07-26
Business Address
MICHAEL THOMAS FEWKES MD
1522 E A ST
CASPER, WY 82601-2221
Phone number: 307-234-6161
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Mailing Address
MICHAEL THOMAS FEWKES MD
902 SW 9TH ST
FRUITLAND, ID 83619-2521
Phone number: 208-740-0811
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