Individual
DONALD JOSEPH FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 LAKE AVE STE 102, STE 102, PLYMOUTH, IN 46563-7830
(574) 948-5170
(574) 948-5498
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0760
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01068190
IN
208600000X
Surgery Physician
MD00024786
WA
Other
Enumeration date
07/17/2006
Last updated
05/28/2020
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