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DR. DONALD WAYNE FENNELL M.D.

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1770652828

Individual Registrant:
DR. DONALD WAYNE FENNELL M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
716 LIGHTHOUSE AVE SUITE D-1 PACIFIC GROVE, CA 93950-2565 US
Tel: 831-655-3392  Fax: 831-647-7940

Contact information for business:
716 LIGHTHOUSE AVE SUITE D-1 PACIFIC GROVE, CA 93950-2565 US
Tel: 831-655-3392  Fax: 831-647-7940

Registration Information:
NPI: 1770652828
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
CAG55422

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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