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Individual

VICTOR WAYNE FUSELIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
5231 BRITTANY DR, BATON ROUGE, LA 70808-9143
(225) 769-0933
(225) 769-5008
Mailing address
5231 BRITTANY DR, BATON ROUGE, LA 70808-9143
(225) 769-0933
(225) 769-5008

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
A10230
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1624781
LA
Enumeration date
12/14/2005
Last updated
04/18/2008
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