BRIAN ANDREW FAUST

SOUTH BEND, IN
NPI1144486168
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18003536A)
Enumeration Date2008-07-29
Last Update Date2018-08-15
Business Address
Dr. BRIAN ANDREW FAUST O.D.
220 N IRONWOOD DR
SOUTH BEND, IN 46615
Phone number: 574-289-3937
Mailing Address
Dr. BRIAN ANDREW FAUST O.D.
PO BOX 549 835 N. CASS ST.
WABASH, IN 46992-0549
Phone number: 260-569-9550