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1043995962
ETHAN FABRIZIUS
DES MOINES, IA
NPI
1043995962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-12905)
Enumeration Date
2023-06-19
Last Update Date
2023-06-19
Business Address
ETHAN FABRIZIUS DO
840 E UNIVERSITY AVE
DES MOINES, IA 50316-2304
Phone number: 515-265-4255
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Mailing Address
ETHAN FABRIZIUS DO
840 E UNIVERSITY AVE
DES MOINES, IA 50316-2304
Phone number: 515-265-4255
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