Individual
DR. JOEL RICHARD WUSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 BRICKELL AVE APT 1002, MIAMI, FL 33131-4002
(214) 577-1827
Mailing address
465 BRICKELL AVE APT 1002, MIAMI, FL 33131-4002
(214) 577-1827
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME151025
FL
207P00000X
Emergency Medicine Physician
Primary
Q7814
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2012
Last updated
09/03/2021
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