Michael Faudree, MD

NPI #1306874680 in Black Creek, Wisconsin

Provider Information

NPI Number: 1306874680
Entity Type: Individual
Name: Michael Faudree, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 400 S MAPLE ST
City: Black Creek
State: Wisconsin
ZIP Code: 54106-9787
Phone: (920) 984-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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