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Individual

NIKOLAY GATALYAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3731 WHIPPLE AVE NW, CANTON, OH 44718-2933
(330) 493-3363
Mailing address
3731 WHIPPLE AVE NW, CANTON, OH 44718-2933
(330) 493-3363

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003582
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0052012
OH
Enumeration date
07/29/2008
Last updated
07/13/2016
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