Individual
DR. MELISSA FAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.143132
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
69524-21
WI
Other
Enumeration date
05/27/2014
Last updated
09/06/2023
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