Individual
MICHAEL J FAIRSHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 1ST ST, MARYSVILLE, CA 95901-6023
(530) 743-6531
(530) 743-7791
Mailing address
320 1ST STREET, MARYSVILLE, CA 95901-6023
(530) 743-6531
(530) 743-7791
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G35056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G350560
—
CA
Enumeration date
10/12/2006
Last updated
08/05/2017
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