Individual
PAMELA SUSAN FAIRCHILD
Active
Individual
PAMELA SUSAN FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301102424
MI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
4301102424
MI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
MD457367
PA
Other
Enumeration date
05/04/2009
Last updated
02/05/2020
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