SearchOhio376J00000X

Brent Fusselman

NPI 1619574852 · on the registry since 2020 · sole proprietor

Practice

Address
6643 First Ave.
Andover, OH 44003
Phone
(440) 645-9543
Clinicians at this address
2

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio