Individual
DR. MERRIT FUSSELMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14333 KINSMAN RD, BURTON, OH 44021-9432
(440) 834-0003
Mailing address
14333 KINSMAN RD, BURTON, OH 44021-9432
(440) 834-0003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716416
—
OH
Enumeration date
03/14/2006
Last updated
07/08/2007
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