Individual
RUSLAN ZENO ZAKHARCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6801 MAYFIELD ROAD, SUITE 537, MAYFIELD HEIGHTS, OH 44124
(440) 442-4452
(440) 442-0571
Mailing address
6801 MAYFIELD RD, SUITE 537, MAYFIELD HEIGHTS, OH 44124-2270
(440) 442-4452
(440) 442-0571
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.004223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.004223
LICENSE NUMBER
OH
Enumeration date
12/30/2014
Last updated
12/30/2014
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