Individual
GARY R KUTSIKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8224 MENTOR AVE, STE 126, MENTOR, OH 44060-5768
(440) 205-9292
(440) 205-9191
Mailing address
8224 MENTOR AVE, STE 126, MENTOR, OH 44060-5768
(440) 205-9292
(440) 205-9191
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35081014K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2475487
—
OH
Enumeration date
05/23/2005
Last updated
04/12/2026
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