Michael Wade Faasen, IDC
NPI #1124320114 in Panama City Beach, Florida
Provider Information
- NPI Number
- 1124320114
- Entity Type
- Individual
- Name
- Michael Wade Faasen, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Nov 23, 2010
- Last Updated
- Nov 23, 2010
Practice Location
- Address
- 321 BULLFINCH RD
- State
- Florida
- ZIP Code
- 32407-7012
- Phone
- (850) 230-3275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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