Individual
VLADIMIR FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 468-0598
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 468-0598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.080631
OH
208M00000X
Hospitalist Physician
Primary
35.080631
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595286
—
OH
Enumeration date
02/08/2007
Last updated
12/29/2020
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