Individual
JOHN A FAFINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4648 W SPENCER ST, APPLETON, WI 54914-9106
(920) 731-7557
Mailing address
3420 JACKSON ST, OSHKOSH, WI 54901-8144
(920) 426-2211
(920) 426-2231
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
015101
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43272100
—
WI
Enumeration date
05/26/2006
Last updated
07/09/2010
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