Individual
DENNIS R. FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1071 REGENT RD, UNIT 710, OCONOMOWOC, WI 53066-4614
(414) 491-1744
Mailing address
1071 REGENT RD, UNIT 710, OCONOMOWOC, WI 53066-4614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
121644-030
WI
163WH0200X
Home Health Registered Nurse
121644-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38268800
—
WI
Enumeration date
02/08/2007
Last updated
04/25/2013
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