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Individual

MICHELLE GILLESPIE RUSNAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.029651
OH
207RP1001X
Pulmonary Disease Physician
35.135282
OH
208000000X
Pediatrics Physician
35.135282
OH
208000000X
Pediatrics Physician
57.029651
OH
2080P0214X
Pediatric Pulmonology Physician
Primary
35.135282
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005430
OH
Enumeration date
03/21/2017
Last updated
07/07/2026
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