Individual
BALJAN MAMETKULYYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
34300 PARK EAST DR APT B2, SOLON, OH 44139-4253
(216) 894-9686
Mailing address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 953-9600
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
5560
MD
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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