National Provider Identifier
Michael James Fanning, MD
Michael James Fanning, MD is listed in the NPPES registry with a primary specialty of Allergy Physician in Amherst, NY and a listed phone number of (716) 631-0380.
Profile Overview
- NPI
- 1811977127
- Provider Type
- Individual
- Primary Specialty
- Allergy Physician
- Enumeration Date
- January 20, 2006
- Last Updated
- August 26, 2009
Practice Location
- 500 Corporate Pkwy
- Suite 100
- Amherst, NY 14226-1263
Phone: (716) 631-0380
Specialties
- Allergy Physician (207KA0200X)
Full Record
- NPI
- 1811977127
- Entity Type
- Individual
- Last Name
- Fanning
- First Name
- Michael
- Middle Name
- James
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 500 Corporate Pkwy
- Mailing Address Line 2
- Suite 100
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1263
- Mailing Country
- US
- Mailing Phone
- (716) 631-0380
- Mailing Fax
- (716) 631-3229
- Practice Street Address
- 500 Corporate Pkwy
- Practice Address Line 2
- Suite 100
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1263
- Practice Country
- US
- Practice Phone
- (716) 631-0380
- Practice Fax
- (716) 631-3229
- Enumeration Date
- January 20, 2006
- Last Updated
- August 26, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Allergy Physician (207KA0200X)
- Other Identifiers
- 00786329 (NY)