Individual
CORY FAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1301 PENNSYLVANIA AVE STE 213, DES MOINES, IA 50316-2365
(515) 224-1414
(515) 224-5140
Mailing address
1301 PENNSYLVANIA AVE STE 213, DES MOINES, IA 50316-2365
(515) 224-1414
(515) 224-5140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
097612
IA
Other
Enumeration date
05/30/2019
Last updated
12/29/2022
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