Individual
DAVID FLUELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1743 E MAIN ST, COLUMBUS, OH 43205-2265
(614) 817-1950
Mailing address
1743 E MAIN ST, COLUMBUS, OH 43205-2265
(614) 966-1774
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RU720864
—
OH
Enumeration date
09/11/2020
Last updated
09/11/2020
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