Individual
MR. MICHAEL J FASBENDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
128 3RD AVE NW, AUSTIN, MN 55912-3018
(507) 437-8222
Mailing address
128 3RD AVE NW, AUSTIN, MN 55912-3018
(507) 437-8222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9798
MN
Other
Enumeration date
06/13/2005
Last updated
07/08/2007
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