NPI 1528196656

Michael John Fumo, MD

Practitioner Urology Physician Rockford, IL

Practice location

Address: 351 Executive Pkwy, Rockford, IL 61107-5339
Phone: (815) 398-4057

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 036117800 (IL)

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Registry record

NPI: 1528196656
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
Record last updated: 19 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.