Individual
GAVIN ALEXANDER FUSTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 IRVING SCHOTTENSTEIN DR, COLUMBUS, OH 43210-1044
(614) 292-2531
Mailing address
2141 SUMMIT STREET, COLUMBUS, OH 43201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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