MICHAEL WADE FAASEN

PANAMA CITY BEACH, FL
NPI1124320114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2010-11-23
Last Update Date2010-11-23
Business Address
-- MICHAEL WADE FAASEN IDC
321 BULLFINCH RD
PANAMA CITY BEACH, FL 32407-7012
Phone number: 850-230-3275
Mailing Address
-- MICHAEL WADE FAASEN IDC
321 BULLFINCH RD
PANAMA CITY BEACH, FL 32407-7012
Phone number: 850-230-3275
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