Individual
TEODORA TZVETANOVA FATCHIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Mailing address
3212 DEBORAH CT, UNIONTOWN, OH 44685-7571
(616) 617-4832
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.146355
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/10/2017
Last updated
09/28/2022
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