Individual
DR. MICHAEL CLOUD FASCHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2805 CAMPUS DR, SUITE 335, PLYMOUTH, MN 55441-2676
(763) 577-7500
(763) 577-7545
Mailing address
1355 TONKAWA RD, WAYZATA, MN 55391-9377
(952) 471-0079
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
27323
MN
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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