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Individual

MICHAEL KEITH FAULKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10513 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1911
(618) 398-7550
(618) 398-7553
Mailing address
10513 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1911
(618) 398-7550
(618) 398-7553

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
06/14/2005
Last updated
02/04/2008
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