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Individual

MICHELLE LEE FACER

Active
Find providers by NPI
Individual

MICHELLE LEE FACER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
44656
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000376
MEDICA
05
43498800
WI
01
HP60546
HEALTHPARTNERS
01
P00143300
RR MEDICARE
Enumeration date
03/14/2007
Last updated
05/01/2008
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