NPI 1619574852
Brent Frank Fusselman
Practice location
- Address
- 6643 First Ave., Andover, OH 44003
- Phone
- (440) 645-9543
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1619574852
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Oct 2020
- Record last updated
- 1 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.