Individual
BENJAMIN FUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3899 W FRONT ST UNIT 3, TRAVERSE CITY, MI 49684-8153
(231) 944-6541
Mailing address
PO BOX 963, TRAVERSE CITY, MI 49685-0963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015411
MI
Other
Enumeration date
11/01/2010
Last updated
10/02/2013
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