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Individual

KARL C FAHRBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2625 WEXFORD RD, COLUMBUS, OH 43221-3215
(317) 432-8125
Mailing address
10567 SAWMILL PKWY, SUITE 100, POWELL, OH 43065-6667
(614) 210-1855
(614) 210-1886

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01062100A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
35090222
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2764530
OH
Enumeration date
07/12/2006
Last updated
11/06/2007
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