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Individual
JOHANN DAVID FARLEY
Active
Individual
JOHANN DAVID FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01060680A
IN
207Q00000X
Family Medicine Physician
46905-20
WI
207Q00000X
Family Medicine Physician
A89493
CA
Other
Enumeration date
04/18/2006
Last updated
03/26/2024
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