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Individual

DR. PETER FASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
539 SOUTH MAIN STREET, FINDLAY, OH 45840-3295
(419) 421-2062
Mailing address
9214 SPRINGBROOKE CIR, LOUISVILLE, KY 40241-3001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
135783-1
NY
207R00000X
Internal Medicine Physician
Primary
35-066285
OH
207R00000X
Internal Medicine Physician
H6814
TX

Other

Enumeration date
12/23/2011
Last updated
12/23/2011
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