DR. Mickey A Fuson, D.C.

NPI #1992050074 in Bloomington, Illinois

Provider Information

NPI Number
1992050074
Entity Type
Individual
Name
DR. Mickey A Fuson, D.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Jul 16, 2012
Last Updated
Jul 16, 2012

Practice Location

Address
2415 E WASHINGTON ST
Address 2
SUITE F
ZIP Code
61704-4473
Phone
(309) 838-7011

Specialties & Taxonomy Codes

Specialty
Chiropractor

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