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Organization

FUZE MEDICAL

Active
Other names
FUZE Medical, FUZE Medical and Medispa
Organization subpart
No

Provider details

NPI number
Authorized official
ARIEL P BRAZZALE NP (CO-OWNER)
(219) 669-1034
Entity
Organization

Contact information

Practice address
9430 WICKER AVE, SAINT JOHN, IN 46373-9400
(219) 558-8068
(877) 822-9116
Mailing address
9430 WICKER AVE, SAINT JOHN, IN 46373-9400
(219) 558-8068
(877) 822-9116

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2083B0002X
Obesity Medicine (Preventive Medicine) Physician

Other

Enumeration date
04/01/2024
Last updated
10/04/2024
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