Individual
JOHN NICK PATZAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
99 NORTHLINE CIR, SUITE 99, EUCLID, OH 44119-1482
(440) 646-0755
(440) 995-5055
Mailing address
5188 HICKORY DRIVE, LYNDHURST, OH 44124
(440) 646-0755
(440) 995-5055
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
34004003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0792227
—
OH
Enumeration date
06/22/2006
Last updated
07/08/2007
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