Individual
DR. JONATHON FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
42350 GRAND RIVER AVE, NOVI, MI 48375-1838
(248) 697-2942
(248) 436-6628
Mailing address
42350 GRAND RIVER AVE, NOVI, MI 48375-1838
(248) 697-2942
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101017744
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
34.010276
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
5101017744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054412
—
OH
Enumeration date
06/29/2008
Last updated
09/09/2022
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