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Individual

FAISAL NOORZAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 662-4236
Mailing address
330 N WABASH AVE STE G-20, MARION, IN 46952-2605
(765) 660-7600
(765) 651-7313

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006334A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001226765
THEM
IN
05
300050922
IN
Enumeration date
04/13/2016
Last updated
12/30/2021
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