Individual
DR. PAUL MICHAEL FAESTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-5001
(253) 968-6096
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12844
HI
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
12844
HI
Other
Enumeration date
10/25/2005
Last updated
05/22/2020
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