Individual
MR. JON JOSEPH FAKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
955 W BROADWAY AVE, MUSKEGON, MI 49441-3521
(231) 755-0637
(231) 755-6208
Mailing address
706 MYRTLE AVE, HOLLAND, MI 49423-6830
(231) 755-0637
(231) 755-6208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704139382
MI
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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