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Individual

KRAIG K SOLAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
150 7TH AVE STE 200, CHARDON, OH 44024-2909
(440) 285-4999
(440) 285-5870
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(440) 285-4999
(440) 285-4996

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34008062
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
34.008062
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000527395
ANTHEM
OH
05
2783779
OH
01
7233660
AETNA
OH
01
POO436163
RAILROAD MEDICARE
OH
Enumeration date
08/18/2005
Last updated
11/02/2023
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