Individual
JOHN A NUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8716 E MILL PLAIN BLVD, VANCOUVER, WA 98664
(360) 514-7550
Mailing address
PO BOX 1588, VANCOUVER, WA 98668-1588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042709
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8362022
—
WA
Enumeration date
10/05/2006
Last updated
07/08/2007
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