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Individual

WALTER J CHLYSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 926-3443
(330) 255-5092
Mailing address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 926-3443
(330) 255-5092

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.070064
OH
208600000X
Surgery Physician
35070064
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2101086
OH
Enumeration date
05/10/2006
Last updated
01/22/2018
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