Individual
EDWARD ANDREW FAZENDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3686 GRANDVIEW PKWY STE 400, BIRMINGHAM, AL 35243-3404
(205) 595-8985
(205) 595-8987
Mailing address
3686 GRANDVIEW PKWY STE 400, BIRMINGHAM, AL 35243-3404
(205) 595-8985
(205) 595-8987
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38369
AL
208600000X
Surgery Physician
MT204318
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256202
—
AL
Enumeration date
06/13/2013
Last updated
01/04/2023
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