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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTHONY G FABAZ, D.O.

Active Sole Proprietor

ANTHONY G FABAZ, D.O. is a Vascular Surgery healthcare provider located in LUDINGTON, Michigan. NPI 1568525764 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · LUDINGTON, MI

Registration Details

NPI Number
1568525764
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2006 (19.680466474856 yrs)
Last Updated
Aug 23, 2011
Licenses
AF006766 (MI)
5101006766 (MI)
Sole Proprietor
Yes

Practice Information

Address
5 N ATKINSON DR
SUITE 304
LUDINGTON, MI, 494312918
Browse MI providers · Browse ZIP 49431
Phone
2318432600
Fax
2318432665
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.