Individual
ALLAN FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7901 ANGLING RD, PORTAGE, MI 49024-0714
(269) 324-8405
Mailing address
3035 S 26TH ST, KALAMAZOO, MI 49048-9610
(269) 383-4285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
757-4431
—
MI
Enumeration date
08/22/2006
Last updated
07/08/2007
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