Individual
MR. LEWIS M VICHINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
245 STOCKSDALE DR, MARYSVILLE, OH 43040-1563
(937) 642-9936
(937) 642-5537
Mailing address
245 STOCKSDALE DR, MARYSVILLE, OH 43040-1563
(937) 642-9936
(937) 642-5537
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001774V
OH
213E00000X
Podiatrist
DPMPDD14R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2457934
—
OH
01
—
P00092942
RR MCR
—
Enumeration date
07/19/2006
Last updated
11/19/2012
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