Organization
MICHAEL C. FASCHING, M. D. P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C FASCHING M.D. (PRESIDENT)
(763) 577-7500
Entity
Organization
Contact information
Practice address
2805 CAMPUS DR, SUITE 335, PLYMOUTH, MN 55441-2676
(763) 577-7500
(763) 577-7545
Mailing address
2805 CAMPUS DR, SUITE 335, PLYMOUTH, MN 55441-2676
(763) 577-7500
(763) 577-7545
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
27323
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097392100
—
MN
Enumeration date
09/09/2010
Last updated
09/09/2010
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