Gregory Paul Fairchok MD

NPI 1093712473 - Radiology - 2085R0202X

NPI Details
NPI 1093712473
Gender Male
Enumeration Date 06/30/2005
Last Updated 06/15/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
1510 OCEAN DR
VERO BEACH FL, 32963-2337, US
Phone (952) 595-1100
Fax (612) 294-4903
Business Location
11995 SINGLETREE LN
SUITE 500
EDEN PRAIRIE MN, 55344-5347, US
Phone (952) 595-1301
Fax (612) 294-4903
Toxanomy
Taxonomy Code 2085R0202X
License State Vermont
License Number 042-0011395
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According to our database, Dr. Gregory Paul Fairchok MD NPI is 1093712473, taxonomy code is 2085R0202X and license number is 042-0011395, license state is located at Vermont. Gregory Paul Fairchok MD physically located at 1510 Ocean Dr, Vero Beach FL, 32963-2337. NPI Number Gregory Paul Fairchok MD has the Individual type.

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1093712473 NPI number is provided on an as is basis without warranty of any kind. 1093712473 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Paul Fairchok MD are for informational purposes only.