Individual
MEGAN K. BUSELLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 OLENTANGY RIVER RD, COLUMBUS, OH 43212-3153
(614) 293-8566
(614) 293-3381
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8566
(614) 293-3381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005827RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337733
—
OH
Enumeration date
01/02/2019
Last updated
03/24/2022
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