Individual
WALTER J CHLYSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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