Individual
DR. ALFRED M FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
21031 MICHIGAN AVENUE, DEARBORN, MI 48124
(313) 277-6700
(313) 277-2483
Mailing address
21031 MICHIGAN AVENUE, DEARBORN, MI 48124
(313) 277-6700
(313) 277-2483
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101014788
MI
207XX0801X
Orthopaedic Trauma Physician
5101014788
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507335
—
NV
01
—
2058214195
BCBS
—
05
—
488260711
—
MI
Enumeration date
01/03/2006
Last updated
03/07/2023
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