IndividualActive
Paul Faybusovich, D.O
NPI 1497109219 · Allergy & Immunology Physician · Saint Cloud, MN
Provider details
- NPI number
- 1497109219
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- No
- License
- OT019251 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1900 Centracare Cir Ste 1325
Saint Cloud, MN 56303-5000
Phone: (320) 654-3650
Fax: (320) 654-3681
Approximate (ZIP-level) locationGet directions
Mailing address
1900 Centracare Cir Ste 1325
Saint Cloud, MN 56303-5000
Registry dates
- Enumerated
- 2016-04-18
- Last updated
- 2022-04-21
- Certified
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.