Individual
DR. ISAAC JOSHUA FAIBISOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 N GRAND BLVD, A632, SAINT LOUIS, MO 63106-1621
(314) 289-4706
Mailing address
40 SYCAMORE DR, CASEYVILLE, IL 62232-2048
(618) 799-0861
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-105092
IL
Other
Enumeration date
09/19/2005
Last updated
03/12/2025
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