Individual
TIMOTHY STEPHEN FUSIAK
Active
Individual
TIMOTHY STEPHEN FUSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0102204499
VA
Other
Enumeration date
12/10/2012
Last updated
06/15/2019
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