Individual
NANCY FAZEKAS-GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4030 MASSILLON RD, SUITE C, UNIONTOWN, OH 44685-6114
(330) 699-1500
(330) 699-1646
Mailing address
4030 MASSILLON RD C, UNIONTOWN, OH 44685-6114
(330) 699-1500
(330) 699-1646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
094843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047072
—
OH
Enumeration date
04/26/2010
Last updated
08/19/2015
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