Whalio Doctors

NPI 1003257205

Jon Joseph Fakler, RN

Practitioner Registered Nurse Muskegon, MI

Practice location

Address
955 W Broadway Ave, Muskegon, MI 49441-3521
Phone
(231) 755-0637
Fax
(231) 755-6208
Mailing address
706 Myrtle Ave, Holland, MI 49423-6830

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 4704139382 (MI)

Registry record

NPI
1003257205
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Jul 2013
Record last updated
16 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.