Individual
GENNADIY BONDARCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
6900 RIDGE RD, PARMA, OH 44129-5650
(440) 887-1100
(440) 887-1103
Mailing address
33199 PETTIBONE RD, SOLON, OH 44139-5505
(216) 769-6197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN.CNP.0029417
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465585
—
OH
Enumeration date
07/30/2021
Last updated
02/02/2026
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