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Individual

DR. MICHAEL EDWARD FAHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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