Individual
MR. JUSTIN MATTHEW FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, LOBBY A, ANN ARBOR, MI 48105-9755
(734) 936-5738
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005211
MI
Other
Enumeration date
07/29/2008
Last updated
09/24/2008
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