Individual
DR. JUSTIN MATTHEW FUEHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1717 S J ST STE 115, TACOMA, WA 98405-4933
(253) 426-6341
(253) 756-3799
Mailing address
1717 S J ST STE 115, TACOMA, WA 98405-4933
(253) 426-6341
(253) 756-3799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OP60872193
WA
207R00000X
Internal Medicine Physician
OP60872193
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OP60872193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110045
—
WA
Enumeration date
04/01/2013
Last updated
12/03/2020
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