Individual
AMBER L. FAUSNEAUCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4613 W MAIN ST STE A, KALAMAZOO, MI 49006-2698
(269) 488-8672
Mailing address
601 JOHN STREET, BOX 39, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101026338
MI
208000000X
Pediatrics Physician
5101026338
MI
Other
Enumeration date
05/26/2017
Last updated
09/20/2021
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