Mark T Fahlen, MD
NPI #1679539415 in Modesto, California
Provider Information
- NPI Number
- 1679539415
- Entity Type
- Individual
- Name
- Mark T Fahlen, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine - Nephrology
- Credential
- MD
- Enumeration Date
- Apr 21, 2006
- Last Updated
- Aug 2, 2011
Practice Location
- Address
- 1400 FLORIDA AVE
- Address 2
- SUITE 109
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4422
- Phone
- (209) 544-2910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Internal Medicine - Nephrology — Nephrology |
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