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Individual

PETER FAUVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
1225 S 11TH ST, NILES, MI 49120-3408
(269) 684-7741
Mailing address
1225 S 11TH ST, NILES, MI 49120-3408
(269) 684-7741

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/06/2017
Last updated
01/06/2017
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