Individual
DR. ANDREW PETER VITKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
466 LAFAYETTE RD, MEDINA, OH 44256-2338
(330) 722-6684
Mailing address
466 LAFAYETTE RD, MEDINA, OH 44256-2338
(330) 722-6684
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1167
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000115469
ANTHEM BC BS
OH
Enumeration date
01/09/2007
Last updated
07/08/2007
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