Individual
DR. DONALD WILTZ FABACHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
8231 JEFFERSON HWY, HARAHAN, LA 70123-4617
(504) 500-8125
Mailing address
PO BOX 231464, NEW ORLEANS, LA 70183-1464
(504) 500-8125
(504) 552-2433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.139477
IL
207Q00000X
Family Medicine Physician
29012
NE
207Q00000X
Family Medicine Physician
Primary
MD.205089
LA
Other
Enumeration date
03/19/2010
Last updated
06/27/2016
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