Individual
BRIAN KRUSEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6512 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7340
(330) 499-5600
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.141057
OH
Other
Enumeration date
03/19/2019
Last updated
01/09/2023
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