Individual
MICHAEL J FASSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18174 FREEPORT RD, STERLING, IL 61081-9737
(815) 213-0143
Mailing address
18174 FREEPORT RD, STERLING, IL 61081-9737
(815) 213-0143
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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