Individual
PAUL CWIKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1605 E 11TH ST, PORTSMOUTH, OH 45662
(740) 354-3883
(740) 354-0447
Mailing address
1605 11TH ST, PORTSMOUTH, OH 45662-4525
(740) 354-3883
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002581
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0967039
—
OH
01
—
480031674
RAILROAD MEDICARE
OH
05
—
80540222
—
KY
Enumeration date
05/24/2005
Last updated
03/17/2018
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