| Gary R Kutsikovich Md And Associates Inc | |
|
8224 Mentor Ave Ste 126 Mentor OH 44060-5743 | |
| (440) 205-9292 | |
| (440) 205-9191 |
| Full Name | Gary R Kutsikovich Md And Associates Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8224 Mentor Ave Ste 126, Mentor, Ohio |
| Authorized Official Name and Position | Gary Kutsikovich (OWNER) |
| Authorized Official Contact | 4402059292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary R Kutsikovich Md And Associates Inc 8224 Mentor Ave Ste 126 Mentor OH 44060-5743 Ph: (440) 205-9292 | Gary R Kutsikovich Md And Associates Inc 8224 Mentor Ave Ste 126 Mentor OH 44060-5743 Ph: (440) 205-9292 |
| NPI Number | 1841250420 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841250420 | NPI | - | NPPES |
| 2475487 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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