Individual
JIM DUSENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3322 GERMAINE RD, MUSKEGON, MI 49441-4199
(231) 750-8480
Mailing address
3320 GERMAINE RD, MUSKEGON, MI 49441-4199
(231) 670-9677
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5502004085
MI
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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