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Individual

AIVARS VITOLS

Active
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Individual

AIVARS VITOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
34-00-2091
OH
207X00000X
Orthopaedic Surgery Physician
Primary
002091
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0300436
OH
01
P01216000
RR MEDICARE
OH
Enumeration date
01/20/2006
Last updated
10/28/2013
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