Individual
DR. DOUGLAS H MUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1499 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4008
(330) 758-0577
(330) 533-4587
Mailing address
6470 TIPPECANOE RD, CANFIELD, OH 44406-7036
(330) 758-0577
(330) 758-0466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34.007068
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
34.007068
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02002303A
LICENSE
IN
01
—
02691
LICENSE
KY
05
—
2351093
—
OH
01
—
341972661
TAX ID
OH
Enumeration date
05/27/2005
Last updated
07/08/2016
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