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Individual

RICHARD L FAIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2150 W CENTRAL AVE, TOLEDO, OH 43606-3834
(419) 291-4290
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 291-4290
(419) 479-3263

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG02190060
OH

Other

Enumeration date
02/08/2019
Last updated
11/03/2023
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