Organization
GARY R KUTSIKOVICH MD AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KUTSIKOVICH (OWNER)
(440) 205-9292
Entity
Organization
Contact information
Practice address
8224 MENTOR AVE STE 126, MENTOR, OH 44060-5743
(440) 205-9292
(440) 205-9191
Mailing address
8224 MENTOR AVE STE 126, MENTOR, OH 44060-5743
(440) 205-9292
(440) 205-9191
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2475487
—
OH
Enumeration date
03/27/2006
Last updated
01/13/2015
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