Individual
DR. KEVIN MICHAEL FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 S UNIVERSITY DR, FARGO, ND 58103
(701) 234-5673
Mailing address
2801 S UNIVERSITY DR, FARGO, ND 58103
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
10362
ND
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
10362
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500897
MEDICA
—
01
—
10362
STATE LICENSE-PERMANENT
ND
05
—
13954
—
ND
05
—
568618000
—
MN
01
—
575G8FA
MN BCBS
—
01
—
HP70703
HEALTHPARTNERS
—
Enumeration date
08/02/2006
Last updated
03/25/2022
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