NPI

Brent Frank Fusselman

NPI 1619574852

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2020-10-01
Last updated
2020-10-01

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Specialties

Licenses

License OH
Number not in the file

Location

Practice location
6643 First Ave.
City
Andover OH
Postal code
44003
Phone
(440) 645-9543

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Andover, OH. 93 records in the public file.

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