Individual
ADAM CUSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 433-6075
Mailing address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 433-6075
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
C1400531
OH
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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