Individual
GENNADY P CHERNYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1808 WEST ROYALE DRIVE, DERMATOLOGY CLINIC OF MUNCIE, INC., MUNCIE, IN 47304-2243
(765) 288-8188
(765) 282-7242
Mailing address
1808 WEST ROYALE DRIVE, DERMATOLOGY CLINIC OF MUNCIE, INC., MUNCIE, IN 47304-2243
(765) 288-8188
(765) 282-7242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000699A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000699A
PHYSICIAN ASSISTANT CERT
IN
Enumeration date
06/15/2006
Last updated
03/25/2016
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