Individual
WILLIAM D FALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6605
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301061878
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102980402
—
MI
01
—
WF061878
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/29/2006
Last updated
05/24/2012
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