Glenn E Fusonie, MD Valid NPI

Individual provider · Vascular Surgery Physician · Pinehurst, NC

NPI

1417928474

Type

Individual (Type 1)

Primary specialty

Vascular Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2086S0129X

License number

2018-00327 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2006-01-30

Last updated

2021-06-02