Individual
FACHTNA CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 414-6046
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35054336C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0538609
—
OH
01
—
300134136
RAILROAD
—
Enumeration date
11/23/2005
Last updated
01/27/2011
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