Individual
DR. WADE TYLER CHIMEROFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
425 HAALAND DR STE 201, THOUSAND OAKS, CA 91361-5231
(805) 496-2383
Mailing address
425 HAALAND DR STE 201, THOUSAND OAKS, CA 91361-5231
(805) 496-2383
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5884
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2018
Last updated
03/15/2023
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