Individual
WALTER FANBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4413 MUNCASTER MILL RD, ROCKVILLE, MD 20853-1434
(240) 832-8409
(301) 493-4737
Mailing address
4413 MUNCASTER MILL RD, ROCKVILLE, MD 20853-1434
(240) 832-8409
(301) 493-4737
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
D0004033
MD
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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