Organization
WALTER J CHLYSTA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER J CHLYSTA (PHYSICIAN)
(330) 344-1100
Entity
Organization
Contact information
Practice address
400 WABASH AVE, AKRON, OH 44307-2433
(330) 344-1100
(330) 344-0032
Mailing address
400 WABASH AVE, AKRON, OH 44307-2433
(330) 344-1100
(330) 344-0032
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35070064
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020049032
RR MEDICARE
OH
05
—
2101086
—
OH
01
—
26968393500
BWC
OH
Enumeration date
11/08/2007
Last updated
03/21/2013
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