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Individual

CHRISTOPHER M FACKELMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-C

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3722
Mailing address
38768 COUNTRY CLUB DR, AVON, OH 44011-5279
(440) 382-7250

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.367836
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027996
OH

Other

Enumeration date
05/10/2022
Last updated
05/10/2022
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