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Individual

DR. MICHAEL BEZOUSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO, MS

Contact information

Practice address
NMRTU IWAKUNI, BLDG 110, FPO, CA 96310
(315) 255-8400
Mailing address
PSC 475 BOX 1, FPO, AP 96350-1200

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
20A7406
CA
2083X0100X
Occupational Medicine Physician
Primary
20A7406
CA

Other

Enumeration date
08/16/2005
Last updated
02/04/2025
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