Individual
MICHELLE FAKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 MOUNT AUBURN ST DEPT OF, CAMBRIDGE, MA 02138-5502
(617) 499-5719
Mailing address
330 BROOKLINE AVE, DEPARTMENT OF SURGERY, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
275119
MA
Other
Enumeration date
03/22/2015
Last updated
09/19/2023
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