Individual
RICHARD ALLEN FANKHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 W BROAD ST, SUITE 300, COLUMBUS, OH 43222-1548
(614) 228-4262
(614) 228-6582
Mailing address
815 W BROAD ST, SUITE 300, COLUMBUS, OH 43222-1548
(614) 228-4262
(614) 228-6582
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0980404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0485863
—
OH
01
—
0900871
DMERC
OH
Enumeration date
11/22/2005
Last updated
11/12/2009
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