Individual
MICHAEL FUSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3339
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3339
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
802851
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP130333
TX
Other
Enumeration date
07/14/2015
Last updated
11/18/2021
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