Individual
JACOB DUSSELIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2019020369
MO
Other
Enumeration date
06/17/2019
Last updated
06/18/2019
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