Individual
MR. PAVLO KOLYESNYKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5933
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.006122
IL
Other
Enumeration date
06/16/2022
Last updated
12/16/2025
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