Whalio Doctors

NPI 1497109219

Paul Faybusovich, DO

Practitioner Allergy & Immunology Physician Saint Cloud, MN

Practice location

Address
1900 Centracare Cir STE 1325, Saint Cloud, MN 56303-5000
Phone
(320) 654-3650
Fax
(320) 654-3681

Registered specialties (2)

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence OT019251 (PA)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence OS020058 (PA)

Registry record

NPI
1497109219
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Apr 2016
Record last updated
21 Apr 2022

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.