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NPI Code Detail

MEDICARE: MR. DAVID S FALKENSTEIN

MEDICARE:  MR. DAVID S FALKENSTEIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant0110840767VA

General Provider Information

NPI Number : 1386641801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID S FALKENSTEIN
Provider Business Mailing Address
First Line : 900 PADDINGTON CT
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23322-8724
Country : US
Telephone Number : 757-482-0547
Fax Number :
Provider Business Practice Location Address
First Line : 1035 NIDER BLVD
Second Line :
City : NORFOLK
State : VA
Zip : 23521-2701
Country : US
Telephone Number : 757-314-7429
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 09/04/2014

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Directions to “ MR. DAVID S FALKENSTEIN ” Practice Location

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