Individual
DR. JONATHAN ANDREW FAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5950 UNIVERSITY AVE STE 221, WEST DES MOINES, IA 50266
(515) 875-9115
(515) 875-9117
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
62049-21
WI
207RG0100X
Gastroenterology Physician
Primary
DO-04375
IA
Other
Enumeration date
06/14/2010
Last updated
12/20/2023
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