Individual
DR. BROOKE MICHELLE FAIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1265 WAYNE AVE STE 307, INDIANA, PA 15701-3501
(888) 452-4762
Mailing address
406 EDGEWOOD AVE, INDIANA, PA 15701-7447
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007540
PA
Other
Enumeration date
04/05/2022
Last updated
09/02/2025
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