Basem Fanous, DPM

NPI #1336173871 in Cando, North Dakota

Provider Information

NPI Number: 1336173871
Entity Type: Individual
Name: Basem Fanous, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jul 10, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: HWY 281N
City: Cando
State: North Dakota
ZIP Code: 58324-0688
Phone: (701) 968-2541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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