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MR. JONATHAN MICHAEL FANSLER NP

NP

Nurse Practitioner

NPI: 1366193377IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

71012167A(IN)
Registered Nurse

Registered Nurse

Code: 163W00000X

28234112A(IN)

Education

OTHER

Class of 2021

Contact & Hours

Via practice · 2 locations total

Address
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Quick Facts

NPI
1366193377
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
5

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