Faust, Russell A.
Faust, Russell A. is an individual health care provider with primary practice located at 1200 N Telegraph Rd , Pontiac MI 48341-0432. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Faust, Russell A. can be contacted via phone (248) 858-1276.Contact Information
Primary practice address
1200 N Telegraph Rd
Pontiac MI 48341-0432
Phone: (248) 858-1276
Fax: (248) 452-9754
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 35088248 | Ohio |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 4301079386 | Michigan |
Profile Details
NPI number | 1356429658 |
---|---|
LBN Legal business name | Faust, Russell A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2006 |
Last updated | Aug 28th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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