Individual
DR. ANDREW C FACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5548 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9315
(724) 444-6330
(724) 444-0607
Mailing address
5548 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9362
(724) 444-6330
(724) 444-0607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD074467L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018769650003
—
PA
01
—
1350031
HIGHMARK
PA
Enumeration date
06/06/2006
Last updated
08/26/2011
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