Individual
CHARLES M FAHRIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 235-2326
(614) 235-5194
Mailing address
PO BOX 13149, COLUMBUS, OH 43213-0149
(614) 235-2326
(614) 235-5194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35056205
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0811956
—
OH
Enumeration date
08/09/2006
Last updated
07/08/2007
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