Individual
DR. JOHN MICHAEL FAY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1543 PARK PL, GREEN BAY, WI 54304-1970
(920) 497-1566
(920) 499-4932
Mailing address
1543 PARK PL, GREEN BAY, WI 54304-1970
(920) 497-1566
(920) 499-4932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4580
WI
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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