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1790745289
EDWARD D FAUSEL
ROCKFORD, IL
NPI
1790745289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 036095214)
Enumeration Date
2006-03-27
Last Update Date
2008-01-11
Business Address
-- EDWARD D FAUSEL MD
2400 N ROCKTON AVE
ROCKFORD, IL 61103-3655
Phone number: 815-971-5000
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Mailing Address
-- EDWARD D FAUSEL MD
6785 WEAVER RD STE D
ROCKFORD, IL 61114-8055
Phone number: 815-633-2225
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