SUSAN M. FAZEKAS

CHESTERTON, IN
NPI1467448654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71000803A)
Enumeration Date2005-09-22
Last Update Date2021-04-12
Business Address
Mrs. SUSAN M. FAZEKAS FPN
259 PAUL REVERE DR
CHESTERTON, IN 46304-9371
Phone number: 219-405-6779
Mailing Address
Mrs. SUSAN M. FAZEKAS FPN
259 PAUL REVERE DR
CHESTERTON, IN 46304-9371
Phone number: 219-405-6779
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