MARK T FAHLEN

MODESTO, CA
NPI1679539415
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine Nephrology
(Licence: CA  A81212)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  A81212)
Enumeration Date2006-04-21
Last Update Date2011-08-02
Business Address
MARK T FAHLEN MD
1400 FLORIDA AVE SUITE 109
MODESTO, CA 95350-4422
Phone number: 209-544-2910
Mailing Address
MARK T FAHLEN MD
1400 FLORIDA AVE SUITE 109
MODESTO, CA 95350-4422
Phone number: 209-544-2910