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Individual
DR. MICHAEL TATUSOV
Active
Individual
DR. MICHAEL TATUSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
050921
CT
207R00000X
Internal Medicine Physician
50921
CT
207R00000X
Internal Medicine Physician
Primary
D83547
MD
208M00000X
Hospitalist Physician
50921
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/14/2009
Last updated
11/02/2020
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