Individual
DR. MARI ANNE FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
226 S WOODS MILL RD, SUITE 49 W, CHESTERFIELD, MO 63017-3662
(314) 434-1211
(314) 434-4419
Mailing address
226 S WOODS MILL RD, SUITE 49 W, CHESTERFIELD, MO 63017-3662
(314) 434-1211
(314) 434-4419
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
100467
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208209106
—
MO
Enumeration date
09/09/2005
Last updated
02/12/2015
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