ALLAN FAUST

PORTAGE, MI
NPI1396851473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601002043)
Enumeration Date2006-08-22
Last Update Date2007-07-08
Business Address
-- ALLAN FAUST PA-C
7901 ANGLING RD
PORTAGE, MI 49024-0714
Phone number: 269-324-8405
Mailing Address
-- ALLAN FAUST PA-C
3035 S 26TH ST
KALAMAZOO, MI 49048-9610
Phone number: 269-383-4285