Individual
JOHN D FAICHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 CIRCLE DR, SUITE A, TRAVERSE CITY, MI 49684-2342
(231) 935-0545
(231) 935-0857
Mailing address
224 CIRCLE DR, SUITE A, TRAVERSE CITY, MI 49684-2342
(231) 935-0545
(231) 935-0857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301037505
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301037505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3493776
—
MI
05
—
4878542
—
MI
05
—
4964551
—
MI
Enumeration date
07/06/2006
Last updated
05/16/2008
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