EDWARD D FAUSEL

ROCKFORD, IL
NPI1790745289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  036095214)
Enumeration Date2006-03-27
Last Update Date2008-01-11
Business Address
-- EDWARD D FAUSEL MD
2400 N ROCKTON AVE
ROCKFORD, IL 61103-3655
Phone number: 815-971-5000
Mailing Address
-- EDWARD D FAUSEL MD
6785 WEAVER RD STE D
ROCKFORD, IL 61114-8055
Phone number: 815-633-2225