Individual
OSTAP WOLOSCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 GANDY ST NE, RUSSELLVILLE, AL 35653-1912
(256) 332-7233
(256) 332-7238
Mailing address
PO BOX 1211, RUSSELLVILLE, AL 35653-1211
(256) 332-7233
(256) 332-7238
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
11365
AL
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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