Individual
DR. MICHAEL EDWARD FAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15770 PAUL VEGA MD DR STE 108A, HAMMOND, LA 70403-1475
(985) 230-1870
(985) 230-1871
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
MD.203318
LA
2086S0127X
Trauma Surgery Physician
Primary
MD.203318
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0303804
—
MS
05
—
1997421
—
LA
Enumeration date
04/18/2007
Last updated
12/08/2022
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