Individual
TERRENCE M OLITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4804 LEAVITT RD, STE A, LORAIN, OH 44053-2139
(440) 989-2066
(440) 989-1153
Mailing address
26953 SOUTHWOOD LN, OLMSTED FALLS, OH 44138-1156
(440) 427-9596
(440) 989-1153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-000885
OH
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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