Organization
INTERVENTIONAL PAIN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE MICHAEL FUSSELL D.O. (OWNER AND PRESIDENT)
(304) 241-5160
Entity
Organization
Contact information
Practice address
1288 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1828
(304) 241-5160
(304) 241-5167
Mailing address
1288 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1828
(304) 241-5160
(304) 241-5167
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
2511
WV
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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