Individual
DIANE MARISSA BRASUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1924 ALCOA HWY # U-67, KNOXVILLE, TN 37920-1511
(865) 305-9350
Mailing address
3905 SOUTH LAKE BLVD., KNOXVILLE, TN 37920-1511
(408) 309-9493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2963
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2014
Last updated
07/21/2017
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