ELBERT A FASNACHT

CARBONDALE, IL
NPI1790834828
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036075250)
Enumeration Date2007-01-09
Last Update Date2009-09-10
Business Address
-- ELBERT A FASNACHT MD
721 S LEWIS LN
CARBONDALE, IL 62901-3344
Phone number: 618-457-4999
Mailing Address
-- ELBERT A FASNACHT MD
721 S LEWIS LN
CARBONDALE, IL 62901-3344
Phone number: 618-457-4999
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