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Individual

DR. MICHELLE LANIECE FUSELIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6305 CASTLE PL, SUITE 1D, FALLS CHURCH, VA 22044-1905
(703) 533-5555
(703) 533-5596
Mailing address
6305 CASTLE PLACE, SUITE 1D, FALLS CHURCH, VA 22045
(703) 533-5555
(703) 533-5596

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101240825
VA
207Q00000X
Family Medicine Physician
D0065265
MD

Other

Enumeration date
11/01/2006
Last updated
11/19/2011
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