Individual
DR. FRANK J FASANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD, SUITE 110, MIAMISBURG, OH 45342-3674
(937) 865-9000
(937) 865-9002
Mailing address
4000 MIAMISBURG CENTERVILLE RD, SUITE 110, MIAMISBURG, OH 45342-3674
(937) 865-9000
(937) 865-9002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-056645
OH
207XS0106X
Orthopaedic Hand Surgery Physician
35-056645
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
35-056645
OH
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
35-056645
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35-056645
OH
207XX0801X
Orthopaedic Trauma Physician
35-056645
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0699150
—
OH
Enumeration date
05/30/2006
Last updated
01/14/2021
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