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Individual

DR. JAMES ROBERT FACKELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10555 SE CARR RD, RENTON, WA 98055-5820
(425) 656-4270
(425) 656-4271
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00024483
WA

Other

Enumeration date
11/16/2005
Last updated
09/25/2012
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