Michael Fentress's National Provider Identifier (NPI) Details
Michael Fentress,
NPI: 1225498983
Enumeration Date: 2016-02-24
Last updated: 2017-03-27
Sole Proprietor: YES
Status: active
Postal Address: 2711 HUMBOLDT RD APT 2, GREEN BAY, WI
Phone: 352-702-2144
Primary Practice Address: 2711 HUMBOLDT RD APT 2, GREEN BAY, WI
Practice's phone: 352-702-2144