Individual
DEVON T KSIAZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 ALTAIR PKWY STE 3200, WESTERVILLE, OH 43082-7653
(614) 392-5160
(614) 764-1707
Mailing address
7281 SAWMILL ROAD, SUITE 100, DUBLIN, OH 43016
(614) 764-0707
(614) 764-1707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003412
OH
Other
Enumeration date
11/19/2011
Last updated
01/05/2024
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