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1689297996 NPI number — FABIAN NALICHOWSKI MD

NPI Number: 1689297996
Health Care Provider/Practitioner: FABIAN NALICHOWSKI MD

Information about “1689297996” NPI (FABIAN NALICHOWSKI MD) exists in 1689297996 in HTML format HTML  |  1689297996 in plain Text format TXT  |  1689297996 in PDF (Portable Document Format) PDF  |  1689297996 in an XML format XML  formats.

NPI Number : 1689297996 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689297996",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NALICHOWSKI",
    "FirstName": "FABIAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "826 W KING ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OWOSSO",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48867-2120",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "989-729-4977",
    "MailingAddressFaxNumber": "989-729-4062",
    "FirstLinePracticeLocationAddress": "826 W KING ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OWOSSO",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48867-2120",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "989-729-4977",
    "PracticeLocationAddressFaxNumber": "989-729-4062",
    "EnumerationDate": "05/20/2020",
    "LastUpdateDate": "08/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "036176782",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "4301509670",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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