Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL NIEL FENNER, MD
ActiveMICHAEL NIEL FENNER, MD is a General Surgery healthcare provider located in JACKSONVILLE, Illinois. NPI 1578660445 is currently active in the NPPES registry. Verify at CMS.
General Surgery · JACKSONVILLE, IL
Registration Details
- NPI Number
- 1578660445
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.907734026881 yrs)
- Last Updated
- Feb 4, 2021
- Licenses
-
5616 (AK)036080188 (IL)
Practice Information
- Address
-
1600 W WALNUT STJACKSONVILLE, IL, 626501136Browse IL providers · Browse ZIP 62650
- Phone
- 2175287541
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in JACKSONVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES MILTON SHEAFF | MD | 1609873249 |
| DR. LADONNA J BRYAN | MD | 1508975285 |
| DANIEL M HALLAM | M.D. | 1548479751 |
| ABIGAIL S WHITE | MD | 1144455767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.